Fayette Creed Williams, DDS, MD in Fort Worth, TX - Medicare Maxillofacial Surgery Provider

Fayette Creed Williams, DDS, MD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Fort Worth, Texas. He went to University Of Texas Southwestern Medical School At Dallas and graduated in 2005 and has 20 years of diverse experience with area of expertise as Maxillofacial Surgery. He is a member of the group practice Oral And Maxillofacial Network Pllc and his current practice location is 1625 Saint Louis Avenue, House Staff & Gme, Fort Worth, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 927-1325.

Fayette Creed Williams is licensed to practice in Texas (license number 21161) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1215130810.

Contact Information

	Fayette Creed Williams, DDS, MD
	1625 Saint Louis Avenue, House Staff & Gme, Fort Worth, TX 76104
	(817) 927-1325
	(817) 927-1035

Map and Direction

Healthcare Provider's Profile

Full Name	Fayette Creed Williams
Gender	Male
Speciality	Maxillofacial Surgery
Experience	20 Years
Location	1625 Saint Louis Avenue, Fort Worth, Texas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Fayette Creed Williams attended and graduated from University Of Texas Southwestern Medical School At Dallas in 2005

NPI Data:

NPI Number: 1215130810
Provider Enumeration Date: 06/09/2007
Last Update Date: 07/22/2011

Medicare PECOS Information:

PECOS PAC ID: 4688706849
Enrollment ID: I20100723000312

Medical Identifiers

Medical identifiers for Fayette Creed Williams such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215130810	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	21161 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Jps Health Network	Fort worth, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Oral And Maxillofacial Network Pllc	2668498387	8

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. Fayette Creed Williams allows following entities to bill medicare on his behalf.

Entity Name	Oral & Maxillofacial Network Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417170655 PECOS PAC ID: 2668498387 Enrollment ID: O20051021000045

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. Fayette Creed 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
Fayette Creed Williams, DDS, MD 1625 Saint Louis Avenue, House Staff & Gme, Fort Worth, TX 76104 Ph: (817) 927-1325	Fayette Creed Williams, DDS, MD 1625 Saint Louis Avenue, House Staff & Gme, Fort Worth, TX 76104 Ph: (817) 927-1325

Reviews and Comments

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Fayette Creed Williams, DDS, MD - Medicare Dentist in Fort Worth, TX