William T Parks Iii, DMD is a medicare enrolled "Dentist - General Practice" provider in Pullman, Michigan. His current practice location is
5498 109th Avenue, Pullman, Michigan. You can reach out to his office (for appointments etc.) via phone at
(269) 236-5021.
William T Parks Iii is licensed to practice in Michigan (license number 2901016262) 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 1831316306.
Healthcare Provider's Profile
Full Name | William T Parks Iii |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 5498 109th Avenue, Pullman, Michigan |
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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: 1831316306
- Provider Enumeration Date: 04/19/2007
- Last Update Date: 06/23/2011
Medicare PECOS Information:
- PECOS PAC ID: 6608050885
- Enrollment ID: I20110413000168
Medical Identifiers
Medical identifiers for William T Parks Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831316306 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 2901016262 (Michigan) | 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. William T Parks Iii allows following entities to bill medicare on his behalf.
Entity Name | Intercare Community Health Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1326058512 PECOS PAC ID: 9537061254 Enrollment ID: O20040223000150 |
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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. William T Parks Iii 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 |
William T Parks Iii, DMD 50 Industrial Park Drive, Bangor, MI 49013-1246 Ph: (269) 427-7937 | William T Parks Iii, DMD 5498 109th Avenue, Pullman, MI 49450-9631 Ph: (269) 236-5021 |
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