Mr William Clayton Watson, PT is a medicare enrolled "Contractor" provider in Holladay, Utah. His current practice location is
2155 E Panorama Way, Holladay, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 673-2910.
Mr William Clayton Watson is licensed to practice in Utah (license number 49112992401) 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 1992006662.
Healthcare Provider's Profile
| Full Name | Mr William Clayton Watson |
|---|
| Gender | Male |
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| Speciality | Contractor |
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| Location | 2155 E Panorama Way, Holladay, Utah |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1992006662
- Provider Enumeration Date: 11/10/2010
- Last Update Date: 07/05/2021
Medicare PECOS Information:
- PECOS PAC ID: 1052453826
- Enrollment ID: I20110218000193
Medical Identifiers
Medical identifiers for Mr William Clayton Watson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992006662 | NPI | - | NPPES |
| 27-0926842 | Other | UT | MEDICARE TAX # |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 4911299-2401 (Utah) | Secondary |
| 171W00000X | Contractor | 49112992401 (Utah) | Primary |
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 William Clayton Watson allows following entities to bill medicare on his behalf.
| Provider Name | Performance Rehab Clinic-salt Lake |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1114055837
PECOS PAC ID: 4688829104
Enrollment ID: O20130306000249 |
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| Provider Name | Lightning Mobility Evaluations, Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1740756436
PECOS PAC ID: 7214275221
Enrollment ID: O20200831001072 |
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| Provider Name | Utah Luna Care Physical Therapy Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1437802246
PECOS PAC ID: 4880089275
Enrollment ID: O20220322001637 |
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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 William Clayton 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 |
|---|
Mr William Clayton Watson, PT
2155 E Panorama Way,
Salt Lake City, UT 84124-2816
Ph: (801) 716-2289 | Mr William Clayton Watson, PT
2155 E Panorama Way,
Holladay, UT 84124-2816
Ph: (801) 673-2910 |
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