Deitra Ann Watson, is a
Prosthetist based in Fargo, North Dakota. Deitra Ann Watson is licensed to practice in Illinois (license number 011245235) and her current practice location is
1011 18th St N, 2b, Fargo, North Dakota. She can be reached at her office (for appointments etc.) via phone at
(701) 212-9200.
NPI number for Deitra Ann Watson is 1437345402 and her current mailing address is 1011 18th St N, 2b, Fargo, North Dakota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1437345402.
Healthcare Provider's Profile
Full Name | Deitra Ann Watson |
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Gender | Female |
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Speciality | Prosthetist |
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Location | 1011 18th St N, Fargo, North Dakota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1437345402
- Provider Enumeration Date: 09/24/2007
- Last Update Date: 12/20/2007
Medical Identifiers
Medical identifiers for Deitra Ann Watson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1437345402 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 011245235 (Illinois) | Secondary |
224P00000X | Prosthetist | 011245235 (Illinois) | 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. Deitra Ann Watson 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 |
Deitra Ann Watson, 1011 18th St N, 2b, Fargo, ND 58102-3238 Ph: () - | Deitra Ann Watson, 1011 18th St N, 2b, Fargo, ND 58102-3238 Ph: (701) 212-9200 |
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