Ben Michael Williams, MD is a medicare enrolled "Dermatology" physician in Anthem, Arizona. His current practice location is
41810 N Venture Dr Unit D136, Anthem, Arizona. You can reach out to his office (for appointments etc.) via phone at
(304) 838-3084.
Ben Michael Williams is licensed to practice in Arizona (license number 71569) 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 1407483852.
Physician's Profile
Full Name | Ben Michael Williams |
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Gender | Male |
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Speciality | Dermatology |
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Location | 41810 N Venture Dr Unit D136, Anthem, Arizona |
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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: 1407483852
- Provider Enumeration Date: 03/25/2020
- Last Update Date: 04/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 5294175725
- Enrollment ID: I20240501003087
Medical Identifiers
Medical identifiers for Ben Michael Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407483852 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ND0101X | Dermatology - Mohs-micrographic Surgery | 71569 (Arizona) | Secondary |
207R00000X | Internal Medicine | STUDENT (Kentucky) | Secondary |
207N00000X | Dermatology | 71569 (Arizona) | 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. Ben Michael Williams allows following entities to bill medicare on his behalf.
Entity Name | Richard Lee Averitte Jr Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1407804115 PECOS PAC ID: 9638069099 Enrollment ID: O20040318000802 |
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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. Ben Michael 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 |
Ben Michael Williams, MD 40 Celebration Dr, Rochester, NY 14620-2664 Ph: (304) 838-3084 | Ben Michael Williams, MD 41810 N Venture Dr Unit D136, Anthem, AZ 85086-3174 Ph: (304) 838-3084 |
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