Victor Owen Waters, MD is a
Emergency Medicine physician based in Skiatook, Oklahoma. Victor Owen Waters is licensed to practice in Colorado (license number 17315) and his current practice location is 120 South 'b' Street, Skiatook, Oklahoma. He can be reached at his office (for appointments etc.) via phone at
(918) 230-2193.
NPI number for Victor Owen Waters is 1376769422 and his current mailing address is 120 South 'b' Street, Skiatook, Oklahoma. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1376769422.
Physician's Profile
| Full Name | Victor Owen Waters |
|---|
| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 120 South 'b' Street, Skiatook, Oklahoma |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1376769422
- Provider Enumeration Date: 04/17/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Victor Owen Waters such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376769422 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | 17315 (Colorado) | Primary |
| 207L00000X | Anesthesiology | 9275 (Oklahoma) | Primary |
| 207LC0200X | Anesthesiology - Critical Care Medicine | 9275 (Oklahoma) | Primary |
| 207LC0200X | Anesthesiology - Critical Care Medicine | 17315 (Colorado) | Primary |
| 207P00000X | Emergency Medicine | 9275 (Oklahoma) | Primary |
| 207P00000X | Emergency Medicine | 17315 (Colorado) | Primary |
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. Victor Owen Waters is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Victor Owen Waters, MD
120 South 'b' Street,
Skiatook, OK 74070-1539
Ph: (918) 230-2193 | Victor Owen Waters, MD
120 South 'b' Street,
Skiatook, OK 74070-1539
Ph: (918) 230-2193 |
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