Quotasze Williams, DMD is a medicare enrolled "Dentist - General Practice" provider in Mound Bayou, Mississippi. His current practice location is
702 Mlk St, Mound Bayou, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(662) 741-2151.
Quotasze Williams is licensed to practice in Mississippi (license number 4317-22) 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 1932834231.
Healthcare Provider's Profile
Full Name | Quotasze Williams |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 702 Mlk St, Mound Bayou, 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: 1932834231
- Provider Enumeration Date: 07/20/2022
- Last Update Date: 02/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 5597140160
- Enrollment ID: I20220917000548
Medical Identifiers
Medical identifiers for Quotasze Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932834231 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 4317-22 (Mississippi) | Secondary |
1223G0001X | Dentist - General Practice | 4317-22 (Mississippi) | Primary |
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. Quotasze Williams allows following entities to bill medicare on his behalf.
Entity Name | Delta Health Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1659378610 PECOS PAC ID: 6608783295 Enrollment ID: O20040216000676 |
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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. Quotasze 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 |
Quotasze Williams, DMD 702 Martin Luther King St, Mound Bayou, MS 38762-9314 Ph: (601) 741-8800 | Quotasze Williams, DMD 702 Mlk St, Mound Bayou, MS 38762-9314 Ph: (662) 741-2151 |
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