Mr Seth Watson, in Jacksonville, FL - Medicare Nurse Practitioner

Mr Seth Watson, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Jacksonville, Florida. His current practice location is 12443 San Jose Blvd Ste 604, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 444-4625.

Mr Seth Watson is licensed to practice in Florida (license number 11021532) 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 1659017374.

Contact Information

	Mr Seth Watson,
	12443 San Jose Blvd Ste 604, Jacksonville, FL 32223-8652
	(904) 444-4625
	(904) 734-7410

Map and Direction

Provider's Profile

Full Name	Mr Seth Watson
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	12443 San Jose Blvd Ste 604, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659017374
Provider Enumeration Date: 05/05/2022
Last Update Date: 09/07/2024

Medicare PECOS Information:

PECOS PAC ID: 8426427055
Enrollment ID: I20221202002984

Medical Identifiers

Medical identifiers for Mr Seth Watson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659017374	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	74098 (Idaho)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	50835 (Wyoming)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	089637-23 (New Hampshire)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R53168 (North Dakota)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	L8-0010372 (Delaware)	Secondary
364SP0808X	Clinical Nurse Specialist - Psychiatric/mental Health	1096480 (Texas)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	53-81592-042 (Kansas)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	11021532 (Florida)	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. Mr Seth Watson allows following entities to bill medicare on his behalf.

Entity Name	Raul J Rodriguez Mdpa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891067823 PECOS PAC ID: 0042477564 Enrollment ID: O20120210000087

Entity Name	Medical & Psychiatric Insitiute Of Florida, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205278454 PECOS PAC ID: 9638396526 Enrollment ID: O20140818001158

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. Mr Seth 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
Mr Seth Watson, 12443 San Jose Blvd Ste 604, Jacksonville, FL 32223-8652 Ph: (904) 944-4625	Mr Seth Watson, 12443 San Jose Blvd Ste 604, Jacksonville, FL 32223-8652 Ph: (904) 444-4625

Reviews and Comments

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Mr Seth Watson, - Medicare Nurse Practitioner in Jacksonville, FL