Richard A Watson, is a medicare enrolled "Psychologist" provider in Stevensville, Michigan. His current practice location is
5675 Fairview St, Stevensville, Michigan. You can reach out to his office (for appointments etc.) via phone at
(269) 429-7727.
Richard A Watson is licensed to practice in Michigan (license number 6301012216) 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 1740387935.
Healthcare Provider's Profile
Full Name | Richard A Watson |
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Gender | Male |
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Speciality | Psychologist |
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Location | 5675 Fairview St, Stevensville, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1740387935
- Provider Enumeration Date: 09/20/2006
- Last Update Date: 12/05/2008
Medicare PECOS Information:
- PECOS PAC ID: 1658810643
- Enrollment ID: I20240821004955
Medical Identifiers
Medical identifiers for Richard A Watson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740387935 | NPI | - | NPPES |
P208915080 | Other | MI | BLUE CROSS PIN |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | 6401009577 (Michigan) | Secondary |
103T00000X | Psychologist | 6301012216 (Michigan) | 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. Richard A Watson allows following entities to bill medicare on his behalf.
Entity Name | Lakeland Hospitals At Niles And St Joseph Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1134220031 PECOS PAC ID: 7517929037 Enrollment ID: O20041027001172 |
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Entity Name | Lakeland Medical Practices |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1538397120 PECOS PAC ID: 1658427042 Enrollment ID: O20090928000216 |
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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. Richard A 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 |
Richard A Watson, 5675 Fairview St, Stevensville, MI 49127-1033 Ph: (269) 429-7727 | Richard A Watson, 5675 Fairview St, Stevensville, MI 49127-1033 Ph: (269) 429-7727 |
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