Adam Brent Watters, CRNA - Medicare Nurse Anesthetist, Certified Registered in Tyler, TX

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Adam Brent Watters, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Tyler, Texas. His current practice location is 800 E Dawson St, Tyler, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 606-4522.

Adam Brent Watters is licensed to practice in Texas (license number AP117546) 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 1710130315.

Contact Information

Adam Brent Watters, CRNA
800 E Dawson St,
Tyler, TX 75701-2036
(903) 606-4522
Not Available

Map and Direction




Provider's Profile

Full NameAdam Brent Watters
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location800 E Dawson St, Tyler, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1710130315
  • Provider Enumeration Date: 10/28/2008
  • Last Update Date: 05/11/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9133285687
  • Enrollment ID: I20090306000557

Medical Identifiers

Medical identifiers for Adam Brent Watters such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710130315NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 652485 (Texas)Secondary
367500000XNurse Anesthetist, Certified Registered AP117546 (Texas)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. Adam Brent Watters allows following entities to bill medicare on his behalf.
Entity NameChristus Trinity Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285684225
PECOS PAC ID: 3072426741
Enrollment ID: O20031204001091
Entity NameMother Frances Hospital Regional Health Care Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679578439
PECOS PAC ID: 9234025636
Enrollment ID: O20040610001042

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. Adam Brent Watters 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
Adam Brent Watters, CRNA
800 E Dawson St,
Tyler, TX 75701-2036

Ph: (903) 606-4522		Adam Brent Watters, CRNA
800 E Dawson St,
Tyler, TX 75701-2036

Ph: (903) 606-4522

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Tyler, TX

Mrs. Glenda R Sealey, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 1424 East Front, Tyler, TX 75702
Phone: 903-595-4144    Fax: 903-596-7541
John Glynn Jeansonne, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 S Beckham Ave, Tyler, TX 75701
Phone: 903-526-1068    Fax: 903-593-4290
Jeffrey Manglicmot, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 800 E Dawson St, Tyler, TX 75701
Phone: 903-531-4522    
Harold Richie Bandalan, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 S Beckham Ave, Tyler, TX 75701
Phone: 903-526-1068    Fax: 903-593-4290
Jeffrey David Barker, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 S Beckham Ave, Tyler, TX 75701
Phone: 903-597-0351    
Gregory Mallett,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 800 E Dawson St, Tyler, TX 75701
Phone: 903-606-4522    
Cara L Dewolfe, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 800 E Dawson St, Tyler, TX 75701
Phone: 903-593-8441    

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.