| Timothy R Watson, FNP-C | |
|
Acute Care And Family Clininc 351 Peoples Dr, 351 Peoples Dr, Pontotoc, MS 38863 | |
| (662) 489-2777 | |
| Not Available |
| Full Name | Timothy R Watson |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | Acute Care And Family Clininc 351 Peoples Dr, Pontotoc, Mississippi |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003285461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95003063 (California) | Primary |
| 363LP2300X | Nurse Practitioner - Primary Care | 95003063 (California) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Mississippi Medical Ctr Hha | Tupelo, MS | Home health agency |
| Pontotoc Health Service Inc Cah | Pontotoc, MS | Hospital |
| North Mississippi Medical Center | Tupelo, MS | Hospital |
| Baptist Memorial Hospital Union County | New albany, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pontotoc Health Services, Inc. | 6002895356 | 10 |
| Entity Name | Pontotoc Health Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821103516 PECOS PAC ID: 6002895356 Enrollment ID: O20040719001336 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy R Watson, FNP-C 11 Cr 4091, Oxford, MS 38655 Ph: (251) 604-9639 | Timothy R Watson, FNP-C Acute Care And Family Clininc 351 Peoples Dr, 351 Peoples Dr, Pontotoc, MS 38863 Ph: (662) 489-2777 |
Mrs. Cynthia Nicole Tindall, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 109 Highway 15 S, Pontotoc, MS 38863 Phone: 662-509-9934 Fax: 662-509-9935 | |
Flora E Stephens, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 351 Peoples Dr # A, Pontotoc, MS 38863 Phone: 662-489-7777 Fax: 662-489-0065 | |
Libby Dove Carruth, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 353 Highway 15 N, Pontotoc, MS 38863 Phone: 662-490-1985 Fax: 662-490-1989 | |
Teirra Wynn, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 109 Highway 15 S, Pontotoc, MS 38863 Phone: 662-509-9934 | |
Mrs. Erin Danielle Grady, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12 Brookes Xing, Pontotoc, MS 38863 Phone: 662-489-4044 | |
Mrs. Traci A Cox, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 284 Highway 9 N, Pontotoc, MS 38863 Phone: 662-296-2451 |