Dr Christy Lee Waterman, MD is a medicare enrolled "Dermatology" physician in Zionsville, Indiana. Her current practice location is
12050 N Michigan Rd, Zionsville, Indiana. You can reach out to her office (for appointments etc.) via phone at
(317) 848-2427.
Dr Christy Lee Waterman is licensed to practice in Indiana (license number 01089786A) 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 1194287078.
Physician's Profile
Full Name | Dr Christy Lee Waterman |
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Gender | Female |
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Speciality | Dermatology |
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Location | 12050 N Michigan Rd, Zionsville, Indiana |
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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: 1194287078
- Provider Enumeration Date: 04/01/2019
- Last Update Date: 10/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 6608109491
- Enrollment ID: I20230607002905
Medical Identifiers
Medical identifiers for Dr Christy Lee Waterman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194287078 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 01089786A (Indiana) | 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. Dr Christy Lee Waterman allows following entities to bill medicare on her behalf.
Entity Name | Booth Dermatology Group, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1346220563 PECOS PAC ID: 2860426574 Enrollment ID: O20050922000261 |
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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. Dr Christy Lee Waterman 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 |
Dr Christy Lee Waterman, MD 2001 W 86th St, Indianapolis, IN 46260-1902 Ph: (317) 338-2281 | Dr Christy Lee Waterman, MD 12050 N Michigan Rd, Zionsville, IN 46077-8782 Ph: (317) 848-2427 |
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