Miss Koran Bianca Watson, - Medicare Dietitian in Philadelphia, PA

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Miss Koran Bianca Watson, is a medicare enrolled "Dietitian, Registered" provider in Philadelphia, Pennsylvania. Her current practice location is 21 S 11th St, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (267) 209-3245.

Miss Koran Bianca Watson is licensed to practice in Pennsylvania (license number DN0006020) 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 1174162572.

Contact Information

Miss Koran Bianca Watson,
21 S 11th St,
Philadelphia, PA 19107-4223
(267) 209-3245
(267) 907-8591

Map and Direction




Healthcare Provider's Profile

Full NameMiss Koran Bianca Watson
GenderFemale
SpecialityDietitian, Registered
Location21 S 11th St, Philadelphia, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174162572
  • Provider Enumeration Date: 01/02/2020
  • Last Update Date: 08/12/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7214345719
  • Enrollment ID: I20210422000768

Medical Identifiers

Medical identifiers for Miss Koran Bianca Watson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174162572NPI-NPPES
DN006020OtherPAPA NURSING BROAD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered DN006020 (Pennsylvania)Secondary
133V00000XDietitian, Registered DN0006020 (Pennsylvania)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. Miss Koran Bianca Watson allows following entities to bill medicare on her behalf.
Provider NameKoran Watson Haven Of Health Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1104401322
PECOS PAC ID: 6406264902
Enrollment ID: O20210422000722

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. Miss Koran Bianca 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 AddressPractice Location Address
Miss Koran Bianca Watson,
21 S 11th St,
Philadelphia, PA 19107-4223

Ph: (267) 209-3245		Miss Koran Bianca Watson,
21 S 11th St,
Philadelphia, PA 19107-4223

Ph: (267) 209-3245

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.