Mr Richard Stephen Waters, PSY D in Worcester, MA - Medicare Clinical Psychologist Provider

Mr Richard Stephen Waters, PSY D is a medicare enrolled "Psychologist - Clinical" provider in Worcester, Massachusetts. He graduated from healthcare school in 2012 and has 12 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Edward M Kennedy Community Health Center Inc and his current practice location is 650 Lincoln St, Worcester, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (508) 595-0750.

Mr Richard Stephen Waters is licensed to practice in Massachusetts (license number 10058) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1629385224.

Contact Information

	Mr Richard Stephen Waters, PSY D
	650 Lincoln St, Worcester, MA 01605-2060
	(508) 595-0750
	(508) 595-1130

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Richard Stephen Waters
Gender	Male
Speciality	Clinical Psychologist
Experience	12 Years
Location	650 Lincoln St, Worcester, Massachusetts
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Richard Stephen Waters graduated from medical school in 2012

NPI Data:

NPI Number: 1629385224
Provider Enumeration Date: 09/03/2010
Last Update Date: 04/03/2017

Medicare PECOS Information:

PECOS PAC ID: 7113278599
Enrollment ID: I20180924003332

Medical Identifiers

Medical identifiers for Mr Richard Stephen Waters such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629385224	NPI	-	NPPES
101YA0400X	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	(* (Not Available))	Secondary
103TC0700X	Psychologist - Clinical	10058 (Massachusetts)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Edward M Kennedy Community Health Center Inc	3476512740	61

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 Richard Stephen Waters allows following entities to bill medicare on his behalf.

Entity Name	Edward M Kennedy Community Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609842152 PECOS PAC ID: 3476512740 Enrollment ID: O20041004000840

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 Richard Stephen 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
Mr Richard Stephen Waters, PSY D 650 Lincoln St, Worcester, MA 01605-2060 Ph: (508) 532-2200	Mr Richard Stephen Waters, PSY D 650 Lincoln St, Worcester, MA 01605-2060 Ph: (508) 595-0750

Mr Richard Stephen Waters, PSY D - Medicare Counselor in Worcester, MA