William K Spears, MD is a medicare enrolled "Pediatrics" physician in Fayetteville, Tennessee. His current practice location is
207 Elk Ave S, Fayetteville, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(931) 433-2551.
William K Spears is licensed to practice in Tennessee (license number MD 17332) 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 1639147119.
Physician's Profile
| Full Name | William K Spears |
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| Gender | Male |
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| Speciality | Pediatrics |
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| Location | 207 Elk Ave S, Fayetteville, Tennessee |
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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: 1639147119
- Provider Enumeration Date: 03/09/2006
- Last Update Date: 04/03/2017
Medicare PECOS Information:
- PECOS PAC ID: 8527966217
- Enrollment ID: I20031219000198
Medical Identifiers
Medical identifiers for William K Spears such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639147119 | NPI | - | NPPES |
| 3060458 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | MD 17332 (Tennessee) | 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. William K Spears allows following entities to bill medicare on his behalf.
| Entity Name | Fayetteville Medical Associates, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902873953
PECOS PAC ID: 8628982857
Enrollment ID: O20031113000070 |
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| Entity Name | Hh Physician Care-fayetteville Medical Associates |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225574056
PECOS PAC ID: 1850662651
Enrollment ID: O20170811001033 |
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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. William K Spears 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 |
|---|
William K Spears, MD
207 Elk Ave S,
Fayetteville, TN 37334-3051
Ph: (931) 433-2551 | William K Spears, MD
207 Elk Ave S,
Fayetteville, TN 37334-3051
Ph: (931) 433-2551 |
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