Dr Reginald Gaylord Williams Jr, MD | |
94180 2nd St, Gold Beach, OR 97444-8733 | |
(541) 247-7047 | |
(541) 247-0123 |
Full Name | Dr Reginald Gaylord Williams Jr |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 53 Years |
Location | 94180 2nd St, Gold Beach, Oregon |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225014632 | NPI | - | NPPES |
1407812365 | Other | OR | NBMC GROUP NPI NUMBER |
214296 | Medicaid | OR | |
CD8723 | Other | OR | RR MEDICARE GROUP NUMBER |
110074859 | Other | OR | RR MEDICARE PTAN NUMBER |
R0000WFBTV | Other | OR | MEDICARE GROUP PIN NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD08253 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Coastal Home Health & Hospice | Brookings, OR | Home health agency |
Curry General Hospital | Gold beach, OR | Hospital |
Bay Area Hospital | Coos bay, OR | Hospital |
Asante Rogue Regional Medical Center | Medford, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North Bend Medical Center Inc | 5597677716 | 79 |
Entity Name | North Bend Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407812365 PECOS PAC ID: 5597677716 Enrollment ID: O20031105000138 |
Entity Name | Curry Health District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487696985 PECOS PAC ID: 2365352747 Enrollment ID: O20040109000983 |
Mailing Address | Practice Location Address |
---|---|
Dr Reginald Gaylord Williams Jr, MD 1900 Woodland Dr, Coos Bay, OR 97420-0000 Ph: (541) 267-5151 | Dr Reginald Gaylord Williams Jr, MD 94180 2nd St, Gold Beach, OR 97444-8733 Ph: (541) 247-7047 |
Stephanie Ann Laudert, MD Family Medicine Medicare: Medicare Enrolled Practice Location: Curry Medical Practice, 94220 4th Street, Gold Beach, OR 97444 Phone: 541-247-3910 Fax: 541-247-3109 | |
Dr. Laurence Edward Taylor, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 94180 2nd St, Gold Beach, OR 97444 Phone: 541-247-7047 Fax: 541-247-0123 |