Jordan Watson, RD is a medicare enrolled "Dietitian, Registered" provider in Spanaway, Washington. Her current practice location is
201 160th St S, Ste. 301, Spanaway, Washington. You can reach out to her office (for appointments etc.) via phone at
(253) 531-4100.
Jordan Watson is licensed to practice in Washington (license number DI60665703) 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 1588117105.
Healthcare Provider's Profile
| Full Name | Jordan Watson |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 201 160th St S, Spanaway, Washington |
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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: 1588117105
- Provider Enumeration Date: 08/01/2016
- Last Update Date: 08/01/2016
Medicare PECOS Information:
- PECOS PAC ID: 3678841723
- Enrollment ID: I20170614002376
Medical Identifiers
Medical identifiers for Jordan Watson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588117105 | NPI | - | NPPES |
| DI60665703 | Other | WA | STATE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | DI60665703 (Washington) | 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. Jordan Watson allows following entities to bill medicare on her behalf.
| Provider Name | Multicare Health System |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1497766638
PECOS PAC ID: 7719899897
Enrollment ID: O20031105000760 |
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| Provider Name | Apple Physical Therapy Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1902808470
PECOS PAC ID: 7810892072
Enrollment ID: O20031202000184 |
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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. Jordan 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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Jordan Watson, RD
790 Remington Blvd,
Bolingbrook, IL 60440-4909
Ph: (630) 296-2222 | Jordan Watson, RD
201 160th St S, Ste. 301,
Spanaway, WA 98387-8508
Ph: (253) 531-4100 |
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