Dr Michael G Waters, MD is a medicare enrolled "Family Medicine" physician in Ridgeway, Virginia. His current practice location is
4944 Greensboro Rd, Ridgeway, Virginia. You can reach out to his office (for appointments etc.) via phone at
(276) 956-2233.
Dr Michael G Waters is licensed to practice in Virginia (license number 0101045065) 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 1417915547.
Physician's Profile
Full Name | Dr Michael G Waters |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 4944 Greensboro Rd, Ridgeway, 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: 1417915547
- Provider Enumeration Date: 05/01/2006
- Last Update Date: 11/30/2018
Medicare PECOS Information:
- PECOS PAC ID: 2860417508
- Enrollment ID: I20051011001022
Medical Identifiers
Medical identifiers for Dr Michael G Waters such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417915547 | NPI | - | NPPES |
010251001 | Medicaid | VA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 0101045065 (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 Michael G Waters allows following entities to bill medicare on his behalf.
Entity Name | Community Access Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1780058628 PECOS PAC ID: 8224333026 Enrollment ID: O20160216001199 |
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Entity Name | Starting Point Of Virginia Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1760949127 PECOS PAC ID: 9931535820 Enrollment ID: O20200213000787 |
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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 Michael G 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 Michael G Waters, MD 142 S Main St, Danville, VA 24541-2922 Ph: (434) 797-2828 | Dr Michael G Waters, MD 4944 Greensboro Rd, Ridgeway, VA 24148-3390 Ph: (276) 956-2233 |
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