Dr Jeffrey L Williams, MD is a medicare enrolled "Plastic Surgery" physician in St Clair Shores, Michigan. He went to Indiana University School Of Medicine and graduated in 1992 and has 32 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. He is a member of the group practice Renaissance Plastic Surgery, P.c. and his current practice location is
21000 12 Mile Rd, Ste 105, St Clair Shores, Michigan. You can reach out to his office (for appointments etc.) via phone at
(586) 779-3030.
Dr Jeffrey L Williams is licensed to practice in Michigan (license number 4301059797) 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 1710993217.
Physician's Profile
Full Name | Dr Jeffrey L Williams |
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Gender | Male |
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Speciality | Plastic And Reconstructive Surgery |
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Experience | 32 Years |
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Location | 21000 12 Mile Rd, St Clair Shores, Michigan |
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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:
- Dr Jeffrey L Williams attended and graduated from Indiana University School Of Medicine in 1992
NPI Data:
- NPI Number: 1710993217
- Provider Enumeration Date: 08/01/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 9638278492
- Enrollment ID: I20101005000091
Medical Identifiers
Medical identifiers for Dr Jeffrey L Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710993217 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208200000X | Plastic Surgery | 4301059797 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Renaissance Plastic Surgery, P.c. | 3476578840 | 3 |
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. Dr Jeffrey L Williams allows following entities to bill medicare on his behalf.
Entity Name | Renaissance Plastic Surgery, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1134278401 PECOS PAC ID: 3476578840 Enrollment ID: O20051014000127 |
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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. Dr Jeffrey L 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 |
Dr Jeffrey L Williams, MD 21000 12 Mile Rd, Ste 105, St Clair Shores, MI 48081 Ph: (586) 779-3030 | Dr Jeffrey L Williams, MD 21000 12 Mile Rd, Ste 105, St Clair Shores, MI 48081 Ph: (586) 779-3030 |
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