Mr Wallace Watts Jr, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Fabens, Texas. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice El Paso County Hospital District and his current practice location is
101 Potasio Street, Fabens, Texas. You can reach out to his office (for appointments etc.) via phone at
(915) 790-5700.
Mr Wallace Watts Jr is licensed to practice in Texas (license number AP132310) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1245772128.
Provider's Profile
| Full Name | Mr Wallace Watts Jr |
|---|
| Gender | Male |
|---|
| Speciality | Nurse Practitioner |
|---|
| Experience | 8 Years |
|---|
| Location | 101 Potasio Street, Fabens, Texas |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Mr Wallace Watts Jr graduated from nursing school in 2016
NPI Data:
- NPI Number: 1245772128
- Provider Enumeration Date: 11/09/2016
- Last Update Date: 11/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 7517249873
- Enrollment ID: I20170120001417
Medical Identifiers
Medical identifiers for Mr Wallace Watts Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245772128 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | AP132310 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| El Paso County Hospital District | 2365431509 | 128 |
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 Wallace Watts Jr allows following entities to bill medicare on his behalf.
| Entity Name | El Paso County Hospital District |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1316936990
PECOS PAC ID: 2365431509
Enrollment ID: O20040511001452 |
|---|
| Entity Name | Umc El Paso Healthcare Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1528683810
PECOS PAC ID: 5395156996
Enrollment ID: O20210520001220 |
|---|
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 Wallace Watts Jr 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 Wallace Watts Jr, NP-C
Po Box 202479,
Dallas, TX 75320-2479
Ph: (915) 790-5700 | Mr Wallace Watts Jr, NP-C
101 Potasio Street,
Fabens, TX 79838
Ph: (915) 790-5700 |
Reviews and Comments