Andria Katheryn Watson, NP, RN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Santa Cruz, California. Her current practice location is
1400 Emeline Ave, Santa Cruz, California. You can reach out to her office (for appointments etc.) via phone at
(831) 454-4797.
Andria Katheryn Watson is licensed to practice in California (license number 95021939) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1043728090.
Healthcare Provider's Profile
| Full Name | Andria Katheryn Watson |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 1400 Emeline Ave, Santa Cruz, California |
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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: 1043728090
- Provider Enumeration Date: 01/11/2018
- Last Update Date: 05/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 6507230620
- Enrollment ID: I20230313001243
Medical Identifiers
Medical identifiers for Andria Katheryn Watson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1043728090 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95021939 (California) | 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. Andria Katheryn Watson allows following entities to bill medicare on her behalf.
| Entity Name | County Of Santa Cruz |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659315430
PECOS PAC ID: 7618872912
Enrollment ID: O20031201000251 |
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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. Andria Katheryn 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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Andria Katheryn Watson, NP, RN
1400 Emeline Ave,
Santa Cruz, CA 95060-1976
Ph: (831) 454-4170 | Andria Katheryn Watson, NP, RN
1400 Emeline Ave,
Santa Cruz, CA 95060-1976
Ph: (831) 454-4797 |
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