Susan King-watts, CNM is a medicare enrolled "Advanced Practice Midwife" in Barboursville, West Virginia. She graduated from nursing school in 1995 and has 29 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). She is a member of the group practice St. Mary's Medical Management, Llc and her current practice location is
143 Peyton Street, Barboursville, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 697-2035.
Susan King-watts is licensed to practice in West Virginia (license number 094) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1639154172.
Provider's Profile
| Full Name | Susan King-watts |
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| Gender | Female |
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| Speciality | Certified Nurse Midwife (cnm) |
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| Experience | 29 Years |
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| Location | 143 Peyton Street, Barboursville, West Virginia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Susan King-watts graduated from nursing school in 1995
NPI Data:
- NPI Number: 1639154172
- Provider Enumeration Date: 12/07/2005
- Last Update Date: 04/22/2021
Medicare PECOS Information:
- PECOS PAC ID: 6800846130
- Enrollment ID: I20050125000626
Medical Identifiers
Medical identifiers for Susan King-watts such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1639154172 | NPI | - | NPPES |
| 0160208-000 | Medicaid | WV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367A00000X | Advanced Practice Midwife | 094 (West Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| St. Mary's Medical Management, Llc | 5890897151 | 85 |
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. Susan King-watts allows following entities to bill medicare on her behalf.
| Entity Name | St. Mary's Medical Management, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922155217
PECOS PAC ID: 5890897151
Enrollment ID: O20070216000690 |
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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. Susan King-watts 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 |
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Susan King-watts, CNM
Po Box 4190,
Barboursville, WV 25504-4190
Ph: (304) 399-4405 | Susan King-watts, CNM
143 Peyton Street,
Barboursville, WV 25504
Ph: (304) 697-2035 |
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