Dr Mary Waters, PHD - Medicare Psychologist in Tallahassee, FL

Dr Mary Waters, PHD is a medicare enrolled "Psychologist - Clinical" provider in Tallahassee, Florida. She graduated from medical school in 1986 and has 38 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Refresh Canopy Cove, Inc and her current practice location is 2509 Barrington Cir Ste 109, Tallahassee, Florida. You can reach out to her office (for appointments etc.) via phone at (850) 385-1190.

Dr Mary Waters is licensed to practice in Florida (license number PY 4135) 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 1215108329.

Contact Information

Dr Mary Waters, PHD
2509 Barrington Cir Ste 109,
Tallahassee, FL 32308-6801
(850) 385-1190
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Mary Waters
GenderFemale
SpecialityClinical Psychologist
Experience38 Years
Location2509 Barrington Cir Ste 109, Tallahassee, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Mary Waters graduated from medical school in 1986
  NPI Data:
  • NPI Number: 1215108329
  • Provider Enumeration Date: 03/17/2008
  • Last Update Date: 03/17/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 1951718733
  • Enrollment ID: I20210323000468

Medical Identifiers

Medical identifiers for Dr Mary Waters such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215108329NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PY 4135 (Florida)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Refresh Canopy Cove, Inc377982211997

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. Dr Mary Waters allows following entities to bill medicare on her behalf.
Entity NameRefresh Canopy Cove, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730661752
PECOS PAC ID: 3779822119
Enrollment ID: O20190304000354

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. Dr Mary Waters 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
Dr Mary Waters, PHD
2509 Barrington Cir Ste 109,
Tallahassee, FL 32308-6801

Ph: (850) 385-1190
Dr Mary Waters, PHD
2509 Barrington Cir Ste 109,
Tallahassee, FL 32308-6801

Ph: (850) 385-1190

Reviews and Comments


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