Michael Derek Williams, DO is a medicare enrolled "Surgery" physician in Lincoln City, Oregon. He graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Samaritan North Lincoln Hospital and his current practice location is
3100 Ne 28th St Ste E, Lincoln City, Oregon. You can reach out to his office (for appointments etc.) via phone at
(541) 994-8114.
Michael Derek Williams is licensed to practice in Oregon (license number DO198440) 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 1841524378.
Physician's Profile
| Full Name | Michael Derek Williams |
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| Gender | Male |
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| Speciality | General Surgery |
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| Experience | 15 Years |
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| Location | 3100 Ne 28th St Ste E, Lincoln City, Oregon |
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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:
- Michael Derek Williams graduated from medical school in 2009
NPI Data:
- NPI Number: 1841524378
- Provider Enumeration Date: 10/01/2009
- Last Update Date: 11/04/2020
Medicare PECOS Information:
- PECOS PAC ID: 1355537473
- Enrollment ID: I20200511002824
Medical Identifiers
Medical identifiers for Michael Derek Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841524378 | NPI | - | NPPES |
| ENROLLED | Medicaid | MN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 53236 (Minnesota) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 208600000X | Surgery | DO198440 (Oregon) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Samaritan North Lincoln Hospital | 7911816301 | 46 |
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. Michael Derek Williams allows following entities to bill medicare on his behalf.
| Entity Name | Samaritan North Lincoln Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1306897491
PECOS PAC ID: 7911816301
Enrollment ID: O20040120000329 |
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| Entity Name | Samaritan North Lincoln Hospital |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1306897491
PECOS PAC ID: 7911816301
Enrollment ID: O20061104000117 |
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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. Michael Derek 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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Michael Derek Williams, DO
Po Box 1194,
Corvallis, OR 97339-1194
Ph: () - | Michael Derek Williams, DO
3100 Ne 28th St Ste E,
Lincoln City, OR 97367-4524
Ph: (541) 994-8114 |
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