| Derek James Williams, MD | |
|
204 Winslow Road, Clancy, MT 59634 | |
| (406) 461-0875 | |
| Not Available |
| Full Name | Derek James Williams |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 204 Winslow Road, Clancy, Montana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811907884 | NPI | - | NPPES |
| 72539 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 10496 (Montana) | Primary |
| Entity Name | Logan Health - Conrad |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467445049 PECOS PAC ID: 8921917501 Enrollment ID: O20040304001137 |
| Entity Name | Cmsc Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639109978 PECOS PAC ID: 5890602494 Enrollment ID: O20130502000527 |
| Mailing Address | Practice Location Address |
|---|---|
| Derek James Williams, MD Po Box 256, Clancy, MT 59634-0256 Ph: (406) 461-0875 | Derek James Williams, MD 204 Winslow Road, Clancy, MT 59634 Ph: (406) 461-0875 |
Kristen M Lamping, FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 Faith Ln, Clancy, MT 59634 Phone: 907-360-7814 | |
Dr. Reginald Joseph Goodwin, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 191 Mcclellan Creek Rd, Clancy, MT 59634 Phone: 406-443-5455 |