Dr Watson David Floyd Fondren, DC is a medicare enrolled "Chiropractor" provider in Brent, Alabama. His current practice location is
122 Walnut St, Brent, Alabama. You can reach out to his office (for appointments etc.) via phone at
(205) 926-5588.
Dr Watson David Floyd Fondren is licensed to practice in Alabama (license number 2773) 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 1073230405.
Healthcare Provider's Profile
| Full Name | Dr Watson David Floyd Fondren |
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| Gender | Male |
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| Speciality | Chiropractor |
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| Location | 122 Walnut St, Brent, Alabama |
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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: 1073230405
- Provider Enumeration Date: 10/26/2022
- Last Update Date: 10/26/2022
Medicare PECOS Information:
- PECOS PAC ID: 2163892522
- Enrollment ID: I20221228002345
Medical Identifiers
Medical identifiers for Dr Watson David Floyd Fondren such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073230405 | NPI | - | NPPES |
| 2773 | Other | AL | STATE OF ALABAMA CHIROPRACTIC LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 2773 (Alabama) | 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. Dr Watson David Floyd Fondren allows following entities to bill medicare on his behalf.
| Provider Name | Norris Chiropractic, Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1801233556
PECOS PAC ID: 2062654817
Enrollment ID: O20130807001001 |
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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. Dr Watson David Floyd Fondren 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 |
|---|
Dr Watson David Floyd Fondren, DC
122 Walnut St,
Brent, AL 35034-4054
Ph: (205) 926-5588 | Dr Watson David Floyd Fondren, DC
122 Walnut St,
Brent, AL 35034-4054
Ph: (205) 926-5588 |
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