Ernestine Renea Watson, is a medicare enrolled "Social Worker - Clinical" provider in Siler City, North Carolina. Her current practice location is
1105 E Cardinal St, Siler City, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(919) 663-2955.
Ernestine Renea Watson is licensed to practice in North Carolina (license number P012646) 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 1588123269.
Healthcare Provider's Profile
| Full Name | Ernestine Renea Watson |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1105 E Cardinal St, Siler City, North Carolina |
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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: 1588123269
- Provider Enumeration Date: 03/13/2019
- Last Update Date: 07/16/2019
Medicare PECOS Information:
- PECOS PAC ID: 4981002227
- Enrollment ID: I20211018001094
Medical Identifiers
Medical identifiers for Ernestine Renea Watson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1588123269 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 24498-A (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | P012646 (North Carolina) | 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. Ernestine Renea Watson allows following entities to bill medicare on her behalf.
| Entity Name | Lifesource Of North Carolina |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811286156
PECOS PAC ID: 7416132428
Enrollment ID: O20110505000743 |
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| Entity Name | Brightside Medical Of New Jersey Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811524754
PECOS PAC ID: 5799141750
Enrollment ID: O20230517000302 |
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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. Ernestine Renea 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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Ernestine Renea Watson,
284 Executive Park Dr Ste 100,
Concord, NC 28025-1833
Ph: (704) 939-1100 | Ernestine Renea Watson,
1105 E Cardinal St,
Siler City, NC 27344-3300
Ph: (919) 663-2955 |
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