Willie Mack Watts, PA is a medicare enrolled "Physician Assistant" in Gray, Georgia. His current practice location is
4292 Gray Hwy, Gray, Georgia. You can reach out to his office (for appointments etc.) via phone at
(478) 986-2500.
Willie Mack Watts is licensed to practice in Georgia (license number 10853) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1679772388.
Provider's Profile
| Full Name | Willie Mack Watts |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 4292 Gray Hwy, Gray, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1679772388
- Provider Enumeration Date: 07/12/2007
- Last Update Date: 06/13/2022
Medicare PECOS Information:
- PECOS PAC ID: 9032299516
- Enrollment ID: I20100811000963
Medical Identifiers
Medical identifiers for Willie Mack Watts such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1679772388 | NPI | - | NPPES |
| 009911802 | Medicaid | AL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363AM0700X | Physician Assistant - Medical | PA-184 (Alabama) | Secondary |
| 363A00000X | Physician Assistant | 10853 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Willie Mack Watts is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Willie Mack Watts, PA Po Box 73, Port Royal, SC 29935-0073 Ph: (256) 393-9663 | Willie Mack Watts, PA 4292 Gray Hwy, Gray, GA 31032-5900 Ph: (478) 986-2500 |
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