Dr William E Real Jr, DMD is a medicare enrolled "Dentist - General Practice" provider in Wrens, Georgia. His current practice location is
403 Canterbury Drive, Wrens, Georgia. You can reach out to his office (for appointments etc.) via phone at
(706) 547-3148.
Dr William E Real Jr is licensed to practice in Georgia (license number 9830) 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 1104875020.
Healthcare Provider's Profile
Full Name | Dr William E Real Jr |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 403 Canterbury Drive, Wrens, Georgia |
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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: 1104875020
- Provider Enumeration Date: 05/08/2006
- Last Update Date: 03/31/2016
Medicare PECOS Information:
- PECOS PAC ID: 0446558845
- Enrollment ID: I20160419001546
Medical Identifiers
Medical identifiers for Dr William E Real Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104875020 | NPI | - | NPPES |
00319206A | Medicaid | GA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 9830 (Georgia) | 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 William E Real Jr 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 William E Real Jr, DMD 403 Canterbury Drive, Wrens, GA 30833 Ph: (706) 547-3148 | Dr William E Real Jr, DMD 403 Canterbury Drive, Wrens, GA 30833-1185 Ph: (706) 547-3148 |
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