Dr Shane Anthony Williams, DMD in Bowling Green, KY

Dr Shane Anthony Williams, DMD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Bowling Green, Kentucky. He went to University Of Louisville School Of Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as Oral Surgery. He is a member of the group practice Southern Kentucky Oral Surgery Associates, Pllc and his current practice location is 1802 Rockingham Ave, Bowling Green, Kentucky. You can reach out to his office (for appointments etc.) via phone at (270) 783-0064.

Dr Shane Anthony Williams is licensed to practice in Kentucky (license number 9943) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1437315272.

Contact Information

	Dr Shane Anthony Williams, DMD
	1802 Rockingham Ave, Bowling Green, KY 42104-3348
	(270) 783-0064
	(270) 901-1997

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Shane Anthony Williams
Gender	Male
Speciality	Oral Surgery
Experience	16 Years
Location	1802 Rockingham Ave, Bowling Green, Kentucky
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Shane Anthony Williams attended and graduated from University Of Louisville School Of Medicine in 2008

NPI Data:

NPI Number: 1437315272
Provider Enumeration Date: 07/31/2008
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 1153699475
Enrollment ID: I20170609000990

Medical Identifiers

Medical identifiers for Dr Shane Anthony Williams such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437315272	NPI	-	NPPES
1528342	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223P0106X	Dentist - Oral And Maxillofacial Pathology	9943 (Kentucky)	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	332 (Oklahoma)	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	9422 (Tennessee)	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	9943 (Kentucky)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern Kentucky Oral Surgery Associates, Pllc	5193776425	3

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. Dr Shane Anthony Williams allows following entities to bill medicare on his behalf.

Entity Name	Southern Kentucky Oral Surgery Associates, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013104892 PECOS PAC ID: 5193776425 Enrollment ID: O20050203000829

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. Dr Shane Anthony 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
Dr Shane Anthony Williams, DMD 1938 Lyda Avenue, Bowling Green, KY 42104 Ph: (270) 783-0064	Dr Shane Anthony Williams, DMD 1802 Rockingham Ave, Bowling Green, KY 42104-3348 Ph: (270) 783-0064

Reviews and Comments

Dentist in Bowling Green, KY

Dr. Michael Wayne Hubbard, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1109 State St, Bowling Green, KY 42101 Phone: 270-783-3573 Fax: 270-783-4081
Dr. Kelli Alexander Barbee, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1830 Destiny Ln, Suite 119, Bowling Green, KY 42104 Phone: 270-393-9925 Fax: 270-393-9928
Kenneth Grant Bale, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 155 Olde Towne Blvd, Bowling Green, KY 42103 Phone: 270-715-2978 Fax: 270-715-2985
Leslie Ann Hazel, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1711 Destiny Ln, Ste 120, Bowling Green, KY 42104 Phone: 270-843-8738 Fax: 270-843-8738
Dr. Ronald L Yaeger, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1064 U S 31 West By Pass, Bowling Green, KY 42101 Phone: 270-781-3610 Fax: 270-796-2932
Dr. Laura Nell Lawless, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1602 Westen St, Bowling Green, KY 42104 Phone: 270-781-1706 Fax: 270-781-2338
Samantha Jo Johnson, Dentist Medicare: Medicare Enrolled Practice Location: 1938 Lyda Ave, Bowling Green, KY 42104 Phone: 270-843-5600

Dr Shane Anthony Williams, DMD - Medicare Dentist in Bowling Green, KY