Mr Zackary Charles Watson, is a medicare enrolled "Physician Assistant" in Estill Springs, Tennessee. He graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Vital Care Clinic Of Estill Springs and his current practice location is
300 S Main St, Estill Springs, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(931) 649-5822.
Mr Zackary Charles Watson is licensed to practice in Tennessee (license number 5284) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1588234033.
Provider's Profile
| Full Name | Mr Zackary Charles Watson |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 4 Years |
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| Location | 300 S Main St, Estill Springs, Tennessee |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Zackary Charles Watson graduated from nursing school in 2022
NPI Data:
- NPI Number: 1588234033
- Provider Enumeration Date: 06/28/2021
- Last Update Date: 09/28/2026
Medicare PECOS Information:
- PECOS PAC ID: 6901274919
- Enrollment ID: I20221123001034
Medical Identifiers
Medical identifiers for Mr Zackary Charles Watson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1588234033 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 5284 (Tennessee) | Primary |
| 363A00000X | Physician Assistant | PA.2066 (Alabama) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Vital Care Clinic Of Estill Springs | 0446794663 | 2 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Zackary Charles Watson allows following entities to bill medicare on his behalf.
| Entity Name | Fast Pace Medical Clinic PLLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134452865
PECOS PAC ID: 5395881841
Enrollment ID: O20091014000112 |
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| Entity Name | NP Health of TN PLLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841888591
PECOS PAC ID: 5395159883
Enrollment ID: O20210125000777 |
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| Entity Name | Vital Care Clinic of Estill Springs |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427829696
PECOS PAC ID: 0446794663
Enrollment ID: O20240628002248 |
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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. Mr Zackary Charles Watson 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 |
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Mr Zackary Charles Watson,
300 S Main St,
Estill Springs, TN 37330-4042
Ph: (931) 649-5822 | Mr Zackary Charles Watson,
300 S Main St,
Estill Springs, TN 37330-4042
Ph: (931) 649-5822 |
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