Kenneth Leroy Watts, MD is a medicare enrolled "Surgery" physician in Miami, Oklahoma. He went to University Of North Dakota School Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Cherokee Nation and his current practice location is
310 2nd Ave Sw Ste 208, Miami, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(918) 540-7870.
Kenneth Leroy Watts is licensed to practice in Missouri (license number 2013032884) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1790992261.
Physician's Profile
Full Name | Kenneth Leroy Watts |
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Gender | Male |
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Speciality | General Surgery |
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Experience | 22 Years |
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Location | 310 2nd Ave Sw Ste 208, Miami, Oklahoma |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kenneth Leroy Watts attended and graduated from University Of North Dakota School Of Medicine in 2002
NPI Data:
- NPI Number: 1790992261
- Provider Enumeration Date: 05/16/2007
- Last Update Date: 10/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 9133213531
- Enrollment ID: I20100913000727
Medical Identifiers
Medical identifiers for Kenneth Leroy Watts such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790992261 | NPI | - | NPPES |
200116470A | Medicaid | OK | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 25530 (Oklahoma) | Secondary |
208600000X | Surgery | 2013032884 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Cherokee Nation | 5799698742 | 361 |
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. Kenneth Leroy Watts allows following entities to bill medicare on his behalf.
Entity Name | Cherokee Nation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1780692723 PECOS PAC ID: 5799698742 Enrollment ID: O20031106000628 |
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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. Kenneth Leroy Watts 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 |
Kenneth Leroy Watts, MD 3319 Mountain Dr, Tahlequah, OK 74464-5523 Ph: (580) 478-7100 | Kenneth Leroy Watts, MD 310 2nd Ave Sw Ste 208, Miami, OK 74354-6702 Ph: (918) 540-7870 |
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