Walter Leroy Williams, MD in Clarkston, WA

Walter Leroy Williams, MD is a medicare enrolled "Dermatology" physician in Clarkston, Washington. He went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 1996 and has 29 years of diverse experience with area of expertise as Dermatology. His current practice location is 1433 5th St., Clarkston, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 758-5141.

Walter Leroy Williams is licensed to practice in Washington (license number MD00041565) 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 1841269248.

Contact Information

	Walter Leroy Williams, MD
	1433 5th St., Clarkston, WA 99403-2714
	(509) 758-5141
	(509) 758-5299

Map and Direction

Physician's Profile

Full Name	Walter Leroy Williams
Gender	Male
Speciality	Dermatology
Experience	29 Years
Location	1433 5th St., Clarkston, Washington
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Walter Leroy Williams attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 1996

NPI Data:

NPI Number: 1841269248
Provider Enumeration Date: 03/16/2006
Last Update Date: 03/15/2024

Medicare PECOS Information:

PECOS PAC ID: 4385610757
Enrollment ID: I20040908000156

Medical Identifiers

Medical identifiers for Walter Leroy Williams such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841269248	NPI	-	NPPES
72157	Other	ID	BLUE CROSS OF IDAHO
000010139009	Other	ID	REGENCE BLUE SHIELD PROV.
MD00041565	Other	WA	WASHINGTON LICENSE
P00007739	Other	WA	RAILROAD MEDICARE #
1117878	Other	WA	WASHINGTON MEDICAID #
806377300	Medicaid	ID
030734610	Other	WA	PREMERA BLUE CROSS #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	MD00041565 (Washington)	Primary
174400000X	Specialist	MD00041565 (Washington)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Syringa General Hospital	Grangeville, ID	Hospital

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. Walter Leroy Williams allows following entities to bill medicare on his behalf.

Entity Name	Integrated Dermatology Of Clarkston Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609656222 PECOS PAC ID: 5597102335 Enrollment ID: O20240328001331

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. Walter Leroy 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
Walter Leroy Williams, MD 1433 5th St., Clarkston, WA 99403-2714 Ph: (509) 758-5141	Walter Leroy Williams, MD 1433 5th St., Clarkston, WA 99403-2714 Ph: (509) 758-5141

Walter Leroy Williams, MD - Medicare Dermatology in Clarkston, WA