Mrs Kelly Conway Watson, ARNP in Jacksonville, FL

Mrs Kelly Conway Watson, ARNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Jacksonville, Florida. Her current practice location is 12317 Soaring Flight Dr, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 881-8677.

Mrs Kelly Conway Watson is licensed to practice in Florida (license number ARNP9348566) 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 1629447552.

Contact Information

	Mrs Kelly Conway Watson, ARNP
	12317 Soaring Flight Dr, Jacksonville, FL 32225-0784
	(904) 881-8677
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Kelly Conway Watson
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	12317 Soaring Flight Dr, 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: 1629447552
Provider Enumeration Date: 09/22/2015
Last Update Date: 11/23/2015

Medicare PECOS Information:

PECOS PAC ID: 2567771819
Enrollment ID: I20151027002673

Medical Identifiers

Medical identifiers for Mrs Kelly Conway Watson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629447552	NPI	-	NPPES
003169318A	Medicaid	GA
015846600	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	ARNP9348566 (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. Mrs Kelly Conway Watson allows following entities to bill medicare on her behalf.

Entity Name	University Of Florida Jacksonville Physicians, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144276452 PECOS PAC ID: 9133025869 Enrollment ID: O20040128000786

Entity Name	Baptist Specialty Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407226228 PECOS PAC ID: 3375597313 Enrollment ID: O20171220001665

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. Mrs Kelly Conway 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
Mrs Kelly Conway Watson, ARNP 12317 Soaring Flight Dr, Jacksonville, FL 32225-0784 Ph: (904) 881-8677	Mrs Kelly Conway Watson, ARNP 12317 Soaring Flight Dr, Jacksonville, FL 32225-0784 Ph: (904) 881-8677

Reviews and Comments

Nurse Practitioner Nurses in Jacksonville, FL

Mrs. Rhode L. Jean-aleger, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10075 Gate Pkwy N Apt 102, Jacksonville, FL 32246 Phone: 904-997-9844 Fax: 904-997-9844
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Xenia T Blount, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Jessica Pelkowski, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Shannon Kathleen Burns, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Christy Mcewen, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 836 Prudential Dr Ste 1700b, Unit 1, Jacksonville, FL 32207 Phone: 904-398-0125 Fax: 904-389-1832
Danielle Harper Key, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4425 Merrimac Ave, Jacksonville, FL 32210 Phone: 904-346-0050 Fax: 904-346-0080

Mrs Kelly Conway Watson, ARNP - Medicare Nurse Practitioner in Jacksonville, FL