Dr Kendra Diane Williams, MD is a medicare enrolled "Family Medicine" physician in Knox City, Texas. Her current practice location is
712 Se 5th St, Knox City, Texas. You can reach out to her office (for appointments etc.) via phone at
(940) 657-3906.
Dr Kendra Diane Williams is licensed to practice in Texas (license number T9821) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1326605569.
Physician's Profile
| Full Name | Dr Kendra Diane Williams |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 712 Se 5th St, Knox City, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1326605569
- Provider Enumeration Date: 05/23/2019
- Last Update Date: 11/29/2022
Medicare PECOS Information:
- PECOS PAC ID: 7618204249
- Enrollment ID: I20230125001210
Medical Identifiers
Medical identifiers for Dr Kendra Diane Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1326605569 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | T9821 (Texas) | 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. Dr Kendra Diane Williams allows following entities to bill medicare on her behalf.
| Entity Name | Baylor County Hospital District |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194893263
PECOS PAC ID: 6103739222
Enrollment ID: O20040512000980 |
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| Entity Name | Knox County Hospital District |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225095441
PECOS PAC ID: 5294643185
Enrollment ID: O20041108000841 |
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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 Kendra Diane 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 Kendra Diane Williams, MD
712 Se 5th St,
Knox City, TX 79529-2105
Ph: (940) 657-3906 | Dr Kendra Diane Williams, MD
712 Se 5th St,
Knox City, TX 79529-2105
Ph: (940) 657-3906 |
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