Dr Roger D Watters, MD in Harrisburg, IL - Medicare Family Medicine

Dr Roger D Watters, MD is a medicare enrolled "Family Medicine" physician in Harrisburg, Illinois. His current practice location is 117 E Clark St, Harrisburg, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 252-8625.

Dr Roger D Watters is licensed to practice in Illinois (license number 036062428) 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 1356321343.

Contact Information

	Dr Roger D Watters, MD
	117 E Clark St, Harrisburg, IL 62946-2702
	(618) 252-8625
	(618) 252-2540

Map and Direction

Physician's Profile

Full Name	Dr Roger D Watters
Gender	Male
Speciality	Family Medicine
Location	117 E Clark St, Harrisburg, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356321343
Provider Enumeration Date: 01/18/2006
Last Update Date: 02/02/2021

Medicare PECOS Information:

PECOS PAC ID: 4587578513
Enrollment ID: I20031114000190

Medical Identifiers

Medical identifiers for Dr Roger D Watters such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356321343	NPI	-	NPPES
036062428.	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	036062428 (Illinois)	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 Roger D Watters allows following entities to bill medicare on his behalf.

Entity Name	Southern Illinois Medical Services Nfp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595

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 Roger D Watters 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 Roger D Watters, MD Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 457-5200	Dr Roger D Watters, MD 117 E Clark St, Harrisburg, IL 62946-2702 Ph: (618) 252-8625

Reviews and Comments

Family Medicine Doctors in Harrisburg, IL

Brent M Jones, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 117 E Clark St, Harrisburg, IL 62946 Phone: 618-252-8625 Fax: 618-351-4859
Dr. Matthew C Winkleman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 117 E Clark St, Harrisburg, IL 62946 Phone: 618-252-8625 Fax: 618-252-2540
Timothy E Morthland, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 100 Dr Warren Tuttle Dr, Harrisburg, IL 62946 Phone: 618-253-7671
Mr. Steven D Knight, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 117 E Clark St, Harrisburg, IL 62946 Phone: 618-252-8625 Fax: 618-252-2540
Dr. Laura M Winkleman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 117 E Clark St, Harrisburg, IL 62946 Phone: 618-252-8625 Fax: 618-351-4859
Mr. Larry R Jones, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 117 E Clark St, Harrisburg, IL 62946 Phone: 618-252-8625 Fax: 618-252-2540

Dr Roger D Watters, MD - Medicare Family Medicine in Harrisburg, IL