Dr Kenneth W Waters, MD is a medicare enrolled "Anesthesiology" physician in Mclean, Virginia. His current practice location is
Kaiser Permanente Tysons Corner Medical Center, 8008 Westpark Drive, Mclean, Virginia. You can reach out to his office (for appointments etc.) via phone at
(703) 489-1405.
Dr Kenneth W Waters is licensed to practice in Virginia (license number 0101252186) 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 1811065584.
Physician's Profile
Full Name | Dr Kenneth W Waters |
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Gender | Male |
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Speciality | Anesthesiology |
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Location | Kaiser Permanente Tysons Corner Medical Center, Mclean, Virginia |
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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: 1811065584
- Provider Enumeration Date: 12/01/2006
- Last Update Date: 07/23/2021
Medicare PECOS Information:
- PECOS PAC ID: 2365698701
- Enrollment ID: I20120817000215
Medical Identifiers
Medical identifiers for Dr Kenneth W Waters such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811065584 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | D0068100 (Maryland) | Secondary |
207L00000X | Anesthesiology | MD044841 (District Of Columbia) | Secondary |
207L00000X | Anesthesiology | MD17452 (Maine) | Secondary |
207L00000X | Anesthesiology | EC-05-170 (Maine) | Secondary |
207L00000X | Anesthesiology | 0101252186 (Virginia) | 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 Kenneth W Waters allows following entities to bill medicare on his behalf.
Entity Name | Inova Cares - Community |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1861131906 PECOS PAC ID: 9537526330 Enrollment ID: O20230620001611 |
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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 Kenneth W 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 |
Dr Kenneth W Waters, MD 8008 Westpark Drive, Mapmg Dept Of Anesthesia, Mclean, VA 22102 Ph: (703) 489-1405 | Dr Kenneth W Waters, MD Kaiser Permanente Tysons Corner Medical Center, 8008 Westpark Drive, Mclean, VA 22102 Ph: (703) 489-1405 |
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