Susan Jane Watson, MD is a medicare enrolled "Pediatrics" physician in Maryville, Missouri. Her current practice location is
114 E South Hills Dr, Maryville, Missouri. You can reach out to her office (for appointments etc.) via phone at
(660) 562-2525.
Susan Jane Watson is licensed to practice in Missouri (license number 110025) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1508837691.
Physician's Profile
Full Name | Susan Jane Watson |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 114 E South Hills Dr, Maryville, Missouri |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1508837691
- Provider Enumeration Date: 01/28/2006
- Last Update Date: 11/09/2012
Medicare PECOS Information:
- PECOS PAC ID: 1355250945
- Enrollment ID: I20070125000089
Medical Identifiers
Medical identifiers for Susan Jane Watson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508837691 | NPI | - | NPPES |
208219816 | Medicaid | MO | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 110025 (Missouri) | 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. Susan Jane Watson allows following entities to bill medicare on her behalf.
Entity Name | Northwest Medical Center Association Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1124164322 PECOS PAC ID: 5496641896 Enrollment ID: O20040224000204 |
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Entity Name | Mosaic Medical Center - Maryville |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1184189797 PECOS PAC ID: 3678813896 Enrollment ID: O20190405001537 |
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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. Susan Jane 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 |
Susan Jane Watson, MD 114 E South Hills Dr, Maryville, MO 64468-2659 Ph: (660) 562-4304 | Susan Jane Watson, MD 114 E South Hills Dr, Maryville, MO 64468-2659 Ph: (660) 562-2525 |
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