Lynn Michael Waters Jr, DO - Medicare Family Medicine in Middleburg, FL

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Lynn Michael Waters Jr, DO is a medicare enrolled "Family Medicine" physician in Middleburg, Florida. His current practice location is 3839 County Road 218, Middleburg, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 282-5474.

Lynn Michael Waters Jr is licensed to practice in Florida (license number OS10513) 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 1487840633.

Contact Information

Lynn Michael Waters Jr, DO
3839 County Road 218,
Middleburg, FL 32068-5708
(904) 282-5474
(904) 282-5824

Map and Direction




Physician's Profile

Full NameLynn Michael Waters Jr
GenderMale
SpecialityFamily Medicine
Location3839 County Road 218, Middleburg, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1487840633
  • Provider Enumeration Date: 09/21/2007
  • Last Update Date: 01/18/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5395871958
  • Enrollment ID: I20100407000510

Medical Identifiers

Medical identifiers for Lynn Michael Waters Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487840633NPI-NPPES
1488LOtherFLBCBS
002290100MedicaidFL
003126257AMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine OS10513 (Florida)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. Lynn Michael Waters Jr allows following entities to bill medicare on his behalf.
Entity NamePhysicians Group Services Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861440810
PECOS PAC ID: 1254238579
Enrollment ID: O20031216000099
Entity NameUniversity Of Florida Jacksonville Physicians, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326208695
PECOS PAC ID: 9133025869
Enrollment ID: O20040204000616
Entity NameUniversity Of Florida Jacksonville Physicians, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487814752
PECOS PAC ID: 9133025869
Enrollment ID: O20050414000212
Entity NameSt Vincent's Ambulatory Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417987124
PECOS PAC ID: 2860411188
Enrollment ID: O20051116000430
Entity NameSolantic Of Jacksonville Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407893100
PECOS PAC ID: 1052409307
Enrollment ID: O20071120000271
Entity NameCoastal Health Primary Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023734340
PECOS PAC ID: 8628447380
Enrollment ID: O20221220001103

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. Lynn Michael Waters Jr 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 AddressPractice Location Address
Lynn Michael Waters Jr, DO
705 Wells Rd Ste 300,
Orange Park, FL 32073-2982

Ph: (904) 282-6331		Lynn Michael Waters Jr, DO
3839 County Road 218,
Middleburg, FL 32068-5708

Ph: (904) 282-5474

Reviews and Comments


Family Medicine Doctors in Middleburg, FL

Quincy Anne Scarborough, M.D.
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Phone: 904-450-8575    Fax: 904-291-3822
Dr. Kent Thomas Braeutigam, D.O.
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Chelsey Lossen,
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Phone: 904-282-8000    Fax: 904-282-8044
Jaya R Shekar, M.D.
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Practice Location: 2554 Blanding Blvd, Suite M, Middleburg, FL 32068
Phone: 904-282-9377    Fax: 904-282-7473

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.