Dr Richard Lee Watson Jr, MD | |
1124 W 21st St, Andover, KS 67002-5500 | |
(620) 242-7865 | |
Not Available |
Full Name | Dr Richard Lee Watson Jr |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 1124 W 21st St, Andover, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851466171 | NPI | - | NPPES |
100208970A | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 21486 (Kansas) | Primary |
207Q00000X | Family Medicine | B21486 (Kansas) | Secondary |
Entity Name | Kansas Medical Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255380127 PECOS PAC ID: 2668476862 Enrollment ID: O20061109000659 |
Entity Name | Pittsburg Emergency Physicians, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043493240 PECOS PAC ID: 4587733886 Enrollment ID: O20080513000115 |
Entity Name | Newman Memorial County Hospital |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1245643576 PECOS PAC ID: 5193638526 Enrollment ID: O20140508000158 |
Mailing Address | Practice Location Address |
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Dr Richard Lee Watson Jr, MD 5331 N Highland St, Ruston, WA 98407-3210 Ph: (620) 242-7865 | Dr Richard Lee Watson Jr, MD 1124 W 21st St, Andover, KS 67002-5500 Ph: (620) 242-7865 |
Dr. Jason Wayne Rundell-little, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1124 W 21st St, Andover, KS 67002 Phone: 316-300-4911 Fax: 316-300-4940 | |
Martin E Sellberg, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1124 W 21st St, Andover, KS 67002 Phone: 316-300-4000 Fax: 316-300-4940 |