Dr Charles Dale Williams Ii, MD | |
96mdg, 307 Boatner Road, Ste 113, Eglin Afb, FL 32542 | |
(850) 883-9957 | |
Not Available |
Full Name | Dr Charles Dale Williams Ii |
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Gender | Male |
Speciality | Anesthesiology |
Location | 96mdg, Eglin Afb, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083804421 | NPI | - | NPPES |
356346 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | A100136 (California) | Primary |
207LP2900X | Anesthesiology - Pain Medicine | MD451007 (Pennsylvania) | Secondary |
Entity Name | Anesthesia Services Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659670453 PECOS PAC ID: 6901083781 Enrollment ID: O20110602000753 |
Entity Name | Medstream Anesthesia Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20140128001202 |
Entity Name | Ocala Anesthesia Ams Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699197343 PECOS PAC ID: 4789814617 Enrollment ID: O20140220000864 |
Entity Name | Capital Anesthesia Solutions Of Florida Ii, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891318481 PECOS PAC ID: 7911323720 Enrollment ID: O20200811002165 |
Mailing Address | Practice Location Address |
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Dr Charles Dale Williams Ii, MD P.o. Box 22672, Philadelphia, PA 19110 Ph: (215) 987-3130 | Dr Charles Dale Williams Ii, MD 96mdg, 307 Boatner Road, Ste 113, Eglin Afb, FL 32542 Ph: (850) 883-9957 |
Dr. Andrew Keith Matthies, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 307 Boatner Rd Ste 114, Eglin Afb, FL 32542 Phone: 850-883-9394 | |
Dr. Megan Kristine Barnett, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 307 Boatner Rd, Anesthesia Dept, Eglin Afb, FL 32542 Phone: 559-906-1390 | |
Dr. Jamison Wendell Elder, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 307 Boatner Rd, Eglin Afb, FL 32542 Phone: 803-840-0825 | |
Dr. Eric F Holt, D.O. Anesthesiology Medicare: Medicare Enrolled Practice Location: 307 Boatner Rd, Eglin Afb, FL 32542 Phone: 850-883-9392 | |
Jeffrey Scott Burbidge, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 307 Boatner Rd, Suite 114, Eglin Afb, FL 32542 Phone: 850-883-9506 | |
Brandon Samuel Lerner, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 307 Boatner Rd Ste 114, Eglin Afb, FL 32542 Phone: 770-310-0334 |