Mr Tracy Woodrow Watson Jr, CRNA is a
Nurse Anesthetist, Certified Registered based in Chagrin Falls, Ohio. Mr Tracy Woodrow Watson Jr is licensed to practice in Ohio (license number NA03676) and his current practice location is
17638 Walnut Trl, Chagrin Falls, Ohio. He can be reached at his office (for appointments etc.) via phone at
(440) 708-2964.
NPI number for Mr Tracy Woodrow Watson Jr is 1194720763 and his current mailing address is 17638 Walnut Trl, Chagrin Falls, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1194720763.
Provider's Profile
| Full Name | Mr Tracy Woodrow Watson Jr |
|---|
| Gender | Male |
|---|
| Speciality | Nurse Anesthetist, Certified Registered |
|---|
| Location | 17638 Walnut Trl, Chagrin Falls, Ohio |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1194720763
- Provider Enumeration Date: 06/20/2005
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Mr Tracy Woodrow Watson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194720763 | NPI | - | NPPES |
| 0176554 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | RN176205 (Ohio) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | NA03676 (Ohio) | Primary |
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 Tracy Woodrow Watson Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Tracy Woodrow Watson Jr, CRNA
17638 Walnut Trl,
Chagrin Falls, OH 44023-6414
Ph: (440) 708-2964 | Mr Tracy Woodrow Watson Jr, CRNA
17638 Walnut Trl,
Chagrin Falls, OH 44023-6414
Ph: (440) 708-2964 |
Reviews and Comments