Individual provider Active NPI

Patricia Tellez Watson, M.D.

  • Infectious Disease Physician
  • Bowling Green, KY
National Provider Identifier
1144584665
Registry record updated Jul 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
50033 Issued in KY
Practice address
720 2ND Ave Ste 307
Bowling Green, KY 42101-1718
Phone
(270) 780-2760
Fax
(270) 780-2761
NPI assigned
Jun 28, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 50033 KY Primary

Addresses

Primary practice location

720 2ND Ave Ste 307
Bowling Green, KY 42101-1718

Mailing address

PO Box 2697
Bowling Green, KY 42102-7697
Phone (270) 780-2760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170803001403 KY Practitioner - Infectious DiseasePractitioner - Internal Medicine 1456580034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

250 Park St
Bowling Green, KY 42101-1760
Phone (270) 781-7178

350 Park St
Bowling Green, KY 42101-1784

456 Burnley Rd
Scottsville, KY 42164-6355
Phone (270) 780-2760

466 Burnley Rd
Scottsville, KY 42164-6355
Phone (270) 780-2750

720 2ND Ave
Suite 307
Bowling Green, KY 42101-1718
Phone (270) 780-2760

723 Burkesville Rd
Albany, KY 42602-1654
Phone (270) 782-0151

825 2ND Ave E
Suite C2
Bowling Green, KY 42101-1786

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Health Corporation, Inc. CurrentSince Jul 1, 2017 Accepting new patients
Commonwealth Health Corporation, Inc. CurrentSince Jul 1, 2017 Accepting new patients
Commonwealth Health Corporation, Inc Current Accepting new patients
Commonwealth Health Corporation Past Accepting new patients

Locations

350 Park St
Ste 203
Bowling Green, KY 42101
Phone (270) 781-0075

250 Park St
Bowling Green, KY 42101
Phone (270) 745-1000

720 2nd Ave
Ste 307
Bowling Green, KY 42101

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499040000000",
    "number": "1144584665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2697",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421027697",
            "telephone_number": "270-780-2760",
            "fax_number": "270-780-2761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 2ND AVE STE 307",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011718",
            "telephone_number": "270-780-2760",
            "fax_number": "270-780-2761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELLEZ WATSON",
        "first_name": "PATRICIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-28",
        "last_updated": "2017-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "KY",
            "license": "50033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.