John R Williams Jr, MD is a medicare enrolled "Surgery" physician in Granite City, Illinois. His current practice location is
2044 Madison Ave, Suite 27, Granite City, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 451-7600.
John R Williams Jr is licensed to practice in Illinois (license number 036116781) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1134217169.
Physician's Profile
Full Name | John R Williams Jr |
---|
Gender | Male |
---|
Speciality | Surgery |
---|
Location | 2044 Madison Ave, Granite City, Illinois |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1134217169
- Provider Enumeration Date: 10/11/2006
- Last Update Date: 01/09/2013
Medicare PECOS Information:
- PECOS PAC ID: 2668449620
- Enrollment ID: I20070105000219
Medical Identifiers
Medical identifiers for John R Williams Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134217169 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 036116781 (Illinois) | 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. John R Williams Jr allows following entities to bill medicare on his behalf.
Entity Name | Pinckneyville Community Hospital |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1689646523 PECOS PAC ID: 8123921632 Enrollment ID: O20040131000065 |
---|
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. John R Williams Jr 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 |
John R Williams Jr, MD 2049 Sidney St, Saint Louis, MO 63104-2828 Ph: () - | John R Williams Jr, MD 2044 Madison Ave, Suite 27, Granite City, IL 62040-4641 Ph: (618) 451-7600 |
Reviews and Comments