Mr Jerome Bradfield Watson, GNP | |
7209 Goldfinch Rd, Texarkana, TX 75501-0227 | |
(903) 334-8132 | |
(903) 334-8146 |
Full Name | Mr Jerome Bradfield Watson |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Location | 7209 Goldfinch Rd, Texarkana, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538162045 | NPI | - | NPPES |
100082540A | Medicaid | OK | |
500004259 | Other | TX | RAILROAD MEDICARE |
P00267929 | Other | TX | TX RAILROAD MEDICARE |
029325001 | Medicaid | TX | |
5U081 | Other | AR | MEDICARE - LEGACY NUMBER |
145430758 | Medicaid | AR | |
160262762 | Medicaid | AR | |
29325004 | Medicaid | TX | |
029325002 | Medicaid | TX | |
500004259 | Other | AR | RAILROAD MEDICARE |
8D9579 | Other | TX | MEDICARE - LEGACY NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | 605190 (Texas) | Secondary |
363L00000X | Nurse Practitioner | AP108606 (Texas) | Primary |
Entity Name | Jerome Watson Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477793479 PECOS PAC ID: 9931256138 Enrollment ID: O20090721000463 |
Mailing Address | Practice Location Address |
---|---|
Mr Jerome Bradfield Watson, GNP 7209 Goldfinch Rd, Texarkana, TX 75501-0227 Ph: (903) 334-8132 | Mr Jerome Bradfield Watson, GNP 7209 Goldfinch Rd, Texarkana, TX 75501-0227 Ph: (903) 334-8132 |
Sally A Thompson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3515 Richmond Rd, Texarkana, TX 75503 Phone: 903-791-9355 Fax: 903-831-7273 | |
Virginia Ann Parker, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3000 Fax: 903-614-3525 | |
Ms. Marla Kay English-pickett, GNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16060 Broadleaf, Texarkana, TX 75503 Phone: 903-838-0031 | |
Laura L Jackson, APRN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3000 Fax: 903-614-3525 | |
Caleb Cain, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5904 Summerfield Dr, Texarkana, TX 75503 Phone: 430-200-4350 Fax: 866-337-1615 | |
Ms. Michelle Cheri Craft, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3002 Moores Ln, Texarkana, TX 75503 Phone: 430-200-4350 Fax: 833-491-2722 | |
Jamie G Dodd, AGACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5904 Summerfield Dr, Texarkana, TX 75503 Phone: 430-200-4350 Fax: 866-337-1615 |