Kyle J Williams, OD is a medicare enrolled "Optometrist" provider in Ketchum, Idaho. His current practice location is
180 1st Ave N, Ketchum, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 726-3363.
Kyle J Williams is licensed to practice in Idaho (license number ODP100080) 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 1649381955.
Healthcare Provider's Profile
| Full Name | Kyle J Williams |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 180 1st Ave N, Ketchum, Idaho |
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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:
- Kyle J Williams attended and graduated from in
NPI Data:
- NPI Number: 1649381955
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 07/27/2010
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Kyle J Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649381955 | NPI | - | NPPES |
| 807261300 | Medicaid | ID | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | ODP100080 (Idaho) | Primary |
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. Kyle J 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 |
|---|
Kyle J Williams, OD
Po Box 6129,
Ketchum, ID 83340-6129
Ph: (208) 726-3363 | Kyle J Williams, OD
180 1st Ave N,
Ketchum, ID 83340-6129
Ph: (208) 726-3363 |
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