Shidelle Watson, APRN, PMHNP-BC - Medicare Nurse Practitioner in Lutz, FL

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Shidelle Watson, APRN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Lutz, Florida. Her current practice location is 4211 Van Dyke Rd, Lutz, Florida. You can reach out to her office (for appointments etc.) via phone at (407) 325-7177.

Shidelle Watson is licensed to practice in Florida (license number 11025894) 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 1851052732.

Contact Information

Shidelle Watson, APRN, PMHNP-BC
4211 Van Dyke Rd,
Lutz, FL 33558-8005
(407) 325-7177
Not Available

Map and Direction




Provider's Profile

Full NameShidelle Watson
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location4211 Van Dyke Rd, Lutz, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1851052732
  • Provider Enumeration Date: 01/04/2022
  • Last Update Date: 08/14/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6608229190
  • Enrollment ID: I20240131004411

Medical Identifiers

Medical identifiers for Shidelle Watson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851052732NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 11025894 (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. Shidelle Watson allows following entities to bill medicare on her behalf.
Entity NameTransformative Healthcare Solutions Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477114031
PECOS PAC ID: 8921337973
Enrollment ID: O20190917001257
Entity NameMental Health Solutions Of South Florida Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194344564
PECOS PAC ID: 0345671673
Enrollment ID: O20200520002119

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. Shidelle 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 AddressPractice Location Address
Shidelle Watson, APRN, PMHNP-BC
4211 Van Dyke Rd,
Lutz, FL 33558-8005

Ph: () -		Shidelle Watson, APRN, PMHNP-BC
4211 Van Dyke Rd,
Lutz, FL 33558-8005

Ph: (407) 325-7177

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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