Nina Marie Watercott, OD | |
1313 Penn Ave N, Minneapolis, MN 55411-3047 | |
(612) 543-2500 | |
Not Available |
Full Name | Nina Marie Watercott |
---|---|
Gender | Female |
Speciality | Optometry |
Experience | 12 Years |
Location | 1313 Penn Ave N, Minneapolis, Minnesota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922363415 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 3320 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hennepin County | 7911892849 | 89 |
Provider Name | Hennepin County |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1780790345 PECOS PAC ID: 7911892849 Enrollment ID: O20040218001012 |
Provider Name | Hennepin Healthcare System Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1033138136 PECOS PAC ID: 4789684861 Enrollment ID: O20070207000467 |
Mailing Address | Practice Location Address |
---|---|
Nina Marie Watercott, OD 4023 14th Ave S Apt 14a, Minneapolis, MN 55407-3261 Ph: () - | Nina Marie Watercott, OD 1313 Penn Ave N, Minneapolis, MN 55411-3047 Ph: (612) 543-2500 |
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