| Dr Watson Concierge Medicine, Pllc | |
|
584 Westport Rd Elizabethtown KY 42701-2987 | |
| (859) 351-7660 | |
| Not Available |
| Full Name | Dr Watson Concierge Medicine, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 584 Westport Rd, Elizabethtown, Kentucky |
| Authorized Official Name and Position | Andrea T Watson (OWNER) |
| Authorized Official Contact | 8593517660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Watson Concierge Medicine, Pllc 584 Westport Rd Elizabethtown KY 42701-2987 Ph: (859) 351-7660 | Dr Watson Concierge Medicine, Pllc 584 Westport Rd Elizabethtown KY 42701-2987 Ph: (859) 351-7660 |
| NPI Number | 1396497137 |
|---|---|
| Provider Enumeration Date | 01/24/2022 |
| Last Update Date | 01/24/2022 |
| Medicare PECOS PAC ID | 9638565088 |
|---|---|
| Medicare Enrollment ID | O20220412000090 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396497137 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Andrea T Watson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801036934 PECOS PAC ID: 3173791373 Enrollment ID: I20110713000727 |
| Provider Name | Crystal Gail Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598544207 PECOS PAC ID: 9537512421 Enrollment ID: I20240126002382 |
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