Dr Bradley Emmett Williams, DMD is a medicare enrolled "Dentist - General Practice" provider in Pelahatchie, Mississippi. His current practice location is
107 N Brooks St, Pelahatchie, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(601) 854-5001.
Dr Bradley Emmett Williams is licensed to practice in Mississippi (license number 269896) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1720098908.
Healthcare Provider's Profile
Full Name | Dr Bradley Emmett Williams |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 107 N Brooks St, Pelahatchie, Mississippi |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1720098908
- Provider Enumeration Date: 08/09/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 0941506943
- Enrollment ID: I20160316001640
Medical Identifiers
Medical identifiers for Dr Bradley Emmett Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720098908 | NPI | - | NPPES |
00660353 | Medicaid | MS | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 269896 (Mississippi) | Primary |
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 Bradley Emmett Williams 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 Address | Practice Location Address |
Dr Bradley Emmett Williams, DMD 107 N Brooks St, Pelahatchie, MS 39145-3091 Ph: (601) 854-5001 | Dr Bradley Emmett Williams, DMD 107 N Brooks St, Pelahatchie, MS 39145-3091 Ph: (601) 854-5001 |
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