Jacob Waters, in Colonial Heights, VA - Medicare Speech-Language Pathologist Provider

Jacob Waters, is a medicare enrolled "Speech-language Pathologist" provider in Colonial Heights, Virginia. His current practice location is 235 Dunlop Farms Blvd, Colonial Heights, Virginia. You can reach out to his office (for appointments etc.) via phone at (804) 520-0050.

Jacob Waters is licensed to practice in Virginia (license number 2202007850) 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 1568857035.

Contact Information

	Jacob Waters,
	235 Dunlop Farms Blvd, Colonial Heights, VA 23834-1792
	(804) 520-0050
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacob Waters
Gender	Male
Speciality	Speech-language Pathologist
Location	235 Dunlop Farms Blvd, Colonial Heights, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568857035
Provider Enumeration Date: 04/01/2015
Last Update Date: 08/31/2023

Medicare PECOS Information:

PECOS PAC ID: 0345608071
Enrollment ID: I20230628000104

Medical Identifiers

Medical identifiers for Jacob Waters such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568857035	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	2202007850 (Virginia)	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. Jacob Waters allows following entities to bill medicare on his behalf.

Provider Name	Legacy Healthcare Services Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1740820828 PECOS PAC ID: 2163339722 Enrollment ID: O20200313002051

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. Jacob Waters 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
Jacob Waters, 4716 Wilconna Rd, Chesterfield, VA 23832-7657 Ph: (804) 528-9784	Jacob Waters, 235 Dunlop Farms Blvd, Colonial Heights, VA 23834-1792 Ph: (804) 520-0050

Reviews and Comments

Speech-Language Pathologist in Colonial Heights, VA

Judith Kaseloo, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3451 Conduit Rd, Colonial Heights, VA 23834 Phone: 804-524-3445
Andrea Christine Mcnulty, MS, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 3300 Longhorn Dr, Colonial Heights, VA 23834 Phone: 856-287-7731
Julia Starr Wilson, M.S. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 235 Dunlop Farms Blvd, Colonial Heights, VA 23834 Phone: 804-520-0050
Rebecca Jackson, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 401 Taswell Ave, Colonial Heights, VA 23834 Phone: 804-524-3435
Jordan Driskill Harris, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5501 Conduit Rd, Colonial Heights, VA 23834 Phone: 804-524-3440
Elizabeth Faye Edens, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5501 Conduit Rd, Colonial Heights, VA 23834 Phone: 804-524-3440

Jacob Waters, - Medicare Speech-Language Pathologist in Colonial Heights, VA