Jack V. Waters, D.c., P.c. - Medicare Primary Care in Clovis, NM

Jack V. Waters, D.c., P.c. is a medicare enrolled primary clinic (Clinic/center) in Clovis, New Mexico. The current practice location for Jack V. Waters, D.c., P.c. is 1833 W 21st St, Clovis, New Mexico. For appointments, you can reach them via phone at (575) 763-8888. The mailing address for Jack V. Waters, D.c., P.c. is 1833 W 21st St, Clovis, New Mexico and phone number is (575) 763-8888.

Jack V. Waters, D.c., P.c. is licensed to practice in New Mexico (license number 989). The clinic also participates in the medicare program and its NPI number is 1265680094. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (575) 763-8888.

Contact Information

Jack V. Waters, D.c., P.c.
1833 W 21st St
Clovis
NM 88101-4023
(575) 763-8888
(575) 763-8891

Primary Care Clinic Profile

Full NameJack V. Waters, D.c., P.c.
SpecialityClinic/Center
Location1833 W 21st St, Clovis, New Mexico
Authorized Official Name and PositionJack V. Waters (PRESIDENT)
Authorized Official Contact5757638888
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jack V. Waters, D.c., P.c.
1833 W 21st St
Clovis
NM 88101-4023

Ph: (575) 763-8888
Jack V. Waters, D.c., P.c.
1833 W 21st St
Clovis
NM 88101-4023

Ph: (575) 763-8888

NPI Details:

NPI Number1265680094
Provider Enumeration Date09/04/2008
Last Update Date12/10/2008

Medicare PECOS Information:

Medicare PECOS PAC ID6709954829
Medicare Enrollment IDO20081002000410

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Medical Identifiers

Medical identifiers for Jack V. Waters, D.c., P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265680094NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center 989 (New Mexico)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Jack V. Waters, D.c., P.c. acts as a billing entity for following providers:
Provider NameJack V Waters
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1396845327
PECOS PAC ID: 3971671116
Enrollment ID: I20081001000490

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