Douglas Lee Watson, PMHNP | |
1806 E 10th St, Jeffersonville, IN 47130-6478 | |
(317) 490-1629 | |
Not Available |
Full Name | Douglas Lee Watson |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 1806 E 10th St, Jeffersonville, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770211658 | NPI | - | NPPES |
K258180 | Other | KY | MEDICARE |
300010664 | Medicaid | IN | |
7100535740 | Medicaid | KY | |
IN3604 | Other | IN | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WC0200X | Registered Nurse - Critical Care Medicine | 1030062854 (Indiana) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 71013479A (Indiana) | Primary |
Entity Name | Lifeline Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265160451 PECOS PAC ID: 3678948577 Enrollment ID: O20230627003021 |
Mailing Address | Practice Location Address |
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Douglas Lee Watson, PMHNP 4355 Country View Dr, Floyds Knobs, IN 47119-9313 Ph: (317) 490-1629 | Douglas Lee Watson, PMHNP 1806 E 10th St, Jeffersonville, IN 47130-6478 Ph: (317) 490-1629 |
Lauren Nicole Helton, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Hospital Blvd, Jeffersonville, IN 47130 Phone: 812-282-3899 Fax: 812-282-4172 | |
Elissa Vaughn, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1036 Sharon Dr, Jeffersonville, IN 47130 Phone: 812-280-6606 | |
Brandy Michelle Cook, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1701 Spring St Ste B, Jeffersonville, IN 47130 Phone: 812-284-2273 | |
Sara Bennett, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Noahs Ln Bldg 215, Jeffersonville, IN 47130 Phone: 812-284-1760 Fax: 812-282-4316 | |
Virginia L Nisbet, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 443 Spring St Ste 200, Jeffersonville, IN 47130 Phone: 812-288-8360 Fax: 812-288-8375 | |
Amy Irene Surber, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Clinic #3975, 1002 Spring Street, Jeffersonville, IN 47130 Phone: 812-282-2256 | |
Bradford Nathanial Whitehead, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1036 Sharon Dr, Jeffersonville, IN 47130 Phone: 812-280-2080 |