Stacey Watson, is a medicare enrolled "Internal Medicine" physician in Richland, Michigan. She went to University Of New Mexico School Of Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Ascension Medical Group Promed and her current practice location is
8450 N 32nd St, Richland, Michigan. You can reach out to her office (for appointments etc.) via phone at
(269) 226-2500.
Stacey Watson is licensed to practice in Michigan (license number 4301068288) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1003926049.
Physician's Profile
| Full Name | Stacey Watson |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Experience | 28 Years |
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| Location | 8450 N 32nd St, Richland, Michigan |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Stacey Watson attended and graduated from University Of New Mexico School Of Medicine in 1996
NPI Data:
- NPI Number: 1003926049
- Provider Enumeration Date: 08/30/2006
- Last Update Date: 09/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 4587794342
- Enrollment ID: I20100604001163
Medical Identifiers
Medical identifiers for Stacey Watson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003926049 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 4301068288 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Ascension Medical Group Promed | 7315856077 | 230 |
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. Stacey Watson allows following entities to bill medicare on her behalf.
| Entity Name | Ascension Medical Group Promed |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497709869
PECOS PAC ID: 7315856077
Enrollment ID: O20031216000478 |
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| Entity Name | Ella E M Brown Charitable Circle |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366591794
PECOS PAC ID: 1254228745
Enrollment ID: O20040616001008 |
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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. Stacey Watson 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 |
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Stacey Watson,
1717 Shaffer Street, Suite 002,
Kalamazoo, MI 49048
Ph: () - | Stacey Watson,
8450 N 32nd St,
Richland, MI 49083-9418
Ph: (269) 226-2500 |
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