Wilford Samuel Williams, is a medicare enrolled "Family Medicine" physician in Ganado, Texas. His current practice location is
204 South 4th Street, Ganado, Texas. You can reach out to his office (for appointments etc.) via phone at
(361) 771-3311.
Wilford Samuel Williams is licensed to practice in Texas (license number F5804) 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 1942231824.
Physician's Profile
| Full Name | Wilford Samuel Williams |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 204 South 4th Street, Ganado, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1942231824
- Provider Enumeration Date: 07/06/2006
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 9931173044
- Enrollment ID: I20100329000547
Medical Identifiers
Medical identifiers for Wilford Samuel Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942231824 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | F5804 (Texas) | 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. Wilford Samuel Williams allows following entities to bill medicare on his behalf.
| Entity Name | El Campo Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427334077
PECOS PAC ID: 6406021765
Enrollment ID: O20140813001385 |
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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. Wilford Samuel 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 |
|---|
Wilford Samuel Williams,
Po Box 1210,
Ganado, TX 77962-1210
Ph: (361) 771-3311 | Wilford Samuel Williams,
204 South 4th Street,
Ganado, TX 77962-1210
Ph: (361) 771-3311 |
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