Kathryn S Watson, CRNA in Fort Wayne, IN - Medicare Nurse Anesthetist, Certified Registered

Kathryn S Watson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fort Wayne, Indiana. Her current practice location is 5734 Coventry Ln, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 436-7875.

Kathryn S Watson is licensed to practice in Indiana (license number 28145281A) 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 1417031733.

Contact Information

	Kathryn S Watson, CRNA
	5734 Coventry Ln, Fort Wayne, IN 46804-7141
	(260) 436-7875
	Not Available

Map and Direction

Provider's Profile

Full Name	Kathryn S Watson
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	5734 Coventry Ln, Fort Wayne, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417031733
Provider Enumeration Date: 10/24/2006
Last Update Date: 01/14/2020

Medicare PECOS Information:

PECOS PAC ID: 5799723474
Enrollment ID: I20050422000342

Medical Identifiers

Medical identifiers for Kathryn S Watson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417031733	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	160617 (Ohio)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	28145281A (Indiana)	Primary
367500000X	Nurse Anesthetist, Certified Registered	NA-03760 (Ohio)	Secondary

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. Kathryn S Watson allows following entities to bill medicare on her behalf.

Entity Name	Promedica Central Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043270150 PECOS PAC ID: 2365348190 Enrollment ID: O20031211000226

Entity Name	Community Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730145392 PECOS PAC ID: 0547258907 Enrollment ID: O20040504000912

Entity Name	Marion Pain Center, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326360082 PECOS PAC ID: 8224166996 Enrollment ID: O20100517000892

Entity Name	Northstar Anesthesia Of Ohio Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417276429 PECOS PAC ID: 3173648300 Enrollment ID: O20100927000005

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. Kathryn S 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
Kathryn S Watson, CRNA 5052 N Clinton St, Fort Wayne, IN 46825-5822 Ph: (260) 408-2203	Kathryn S Watson, CRNA 5734 Coventry Ln, Fort Wayne, IN 46804-7141 Ph: (260) 436-7875

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Fort Wayne, IN

Anthony Dzigbordi, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5050 N Clinton St, Fort Wayne, IN 46825 Phone: 260-484-8551
Lisa A Tompa, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5050 N Clinton St, Fort Wayne, IN 46825 Phone: 260-484-8551 Fax: 260-482-5060
Nicole Borem Schickel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5734 Coventry Ln, Fort Wayne, IN 46804 Phone: 260-436-7875
Blair John Walker, RN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-416-3000
Madeline Sikes Brooks, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10315 Dawsons Creek Blvd Ste Ab, Fort Wayne, IN 46825 Phone: 260-436-7875 Fax: 260-432-9812
Dr. Jennifer Hager, DNP, MBA, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 10315 Dawsons Creek Blvd Ste Ab, Fort Wayne, IN 46825 Phone: 260-436-7875 Fax: 260-432-9812
Lisa Osborne, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5734 Coventry Ln, Fort Wayne, IN 46804 Phone: 260-436-7875

Kathryn S Watson, CRNA - Medicare Nurse Anesthetist, Certified Registered in Fort Wayne, IN