Mr Timmy Owen Williams, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Grove Hill, Alabama. His current practice location is
Jackson Street, Grove Hill, Alabama. You can reach out to his office (for appointments etc.) via phone at
(251) 275-3191.
Mr Timmy Owen Williams is licensed to practice in Alabama (license number 1-052962) 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 1578657268.
Provider's Profile
Full Name | Mr Timmy Owen Williams |
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Gender | Male |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | Jackson Street, Grove Hill, Alabama |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1578657268
- Provider Enumeration Date: 10/03/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 1557334109
- Enrollment ID: I20040813000036
Medical Identifiers
Medical identifiers for Mr Timmy Owen Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578657268 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | 1-052962 (Alabama) | 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. Mr Timmy Owen Williams allows following entities to bill medicare on his behalf.
Entity Name | Irwin County Anesthesia, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1275754103 PECOS PAC ID: 8426109588 Enrollment ID: O20090630000646 |
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Entity Name | Au Anesthesiology, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1831440478 PECOS PAC ID: 0941437842 Enrollment ID: O20131223000682 |
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Entity Name | Rg Anesthesia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1235553421 PECOS PAC ID: 1052543287 Enrollment ID: O20140422001220 |
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Entity Name | Anesthesia Care Services Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1609833474 PECOS PAC ID: 7012937105 Enrollment ID: O20151103001846 |
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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. Mr Timmy Owen 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 |
Mr Timmy Owen Williams, CRNA 571 County Rd. 212, Valley Grande, AL 36701-3709 Ph: (334) 877-1781 | Mr Timmy Owen Williams, CRNA Jackson Street, Grove Hill, AL 36451 Ph: (251) 275-3191 |
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