Evan Grant Williams, MD is a medicare enrolled "Hospitalist" physician in Farmington, Missouri. He went to University Of Missouri, Columbia School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Physician Groups Lc and his current practice location is
1101 W Liberty St, Farmington, Missouri. You can reach out to his office (for appointments etc.) via phone at
(573) 756-6751.
Evan Grant Williams is licensed to practice in Missouri (license number 2019009758) 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 1174605620.
Physician's Profile
| Full Name | Evan Grant Williams |
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| Gender | Male |
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| Speciality | Hospitalist |
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| Experience | 19 Years |
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| Location | 1101 W Liberty St, Farmington, Missouri |
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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. |
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Medical Education and Training:
- Evan Grant Williams attended and graduated from University Of Missouri, Columbia School Of Medicine in 2005
NPI Data:
- NPI Number: 1174605620
- Provider Enumeration Date: 10/20/2006
- Last Update Date: 03/31/2021
Medicare PECOS Information:
- PECOS PAC ID: 2961547997
- Enrollment ID: I20100302000837
Medical Identifiers
Medical identifiers for Evan Grant Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1174605620 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 28008 (South Carolina) | Secondary |
| 208000000X | Pediatrics | 28008 (South Carolina) | Secondary |
| 208M00000X | Hospitalist | 28008 (South Carolina) | Secondary |
| 208M00000X | Hospitalist | 2019009758 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Physician Groups Lc | 3072421254 | 427 |
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. Evan Grant Williams allows following entities to bill medicare on his behalf.
| Entity Name | Physician Groups Lc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285664268
PECOS PAC ID: 3072421254
Enrollment ID: O20040220001157 |
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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. Evan Grant 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 |
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Evan Grant Williams, MD
1101 W Liberty St,
Farmington, MO 63640-1921
Ph: (573) 756-6751 | Evan Grant Williams, MD
1101 W Liberty St,
Farmington, MO 63640-1921
Ph: (573) 756-6751 |
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