Mrs Summer Grace Watson, is a
Student In An Organized Health Care Education/training Program based in Tulsa, Oklahoma. Mrs Summer Grace Watson is licensed to practice in * (Not Available) (license number ) and her current practice location is
1111 W 17th St, Tulsa, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(918) 561-1145.
NPI number for Mrs Summer Grace Watson is 1073287835 and her current mailing address is 1111 W 17th St, Tulsa, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073287835.
Provider's Profile
| Full Name | Mrs Summer Grace Watson |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 1111 W 17th St, Tulsa, Oklahoma |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1073287835
- Provider Enumeration Date: 08/05/2021
- Last Update Date: 08/05/2021
Medical Identifiers
Medical identifiers for Mrs Summer Grace Watson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073287835 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Mrs Summer Grace Watson 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 |
|---|
Mrs Summer Grace Watson,
1111 W 17th St,
Tulsa, OK 74107-1886
Ph: () - | Mrs Summer Grace Watson,
1111 W 17th St,
Tulsa, OK 74107-1886
Ph: (918) 561-1145 |
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