Dr Blake Anthony Williams, MD in Bentonville, AR

Dr Blake Anthony Williams, MD is a medicare enrolled "Dermatology" physician in Bentonville, Arkansas. He went to University Of Arkansas College Of Medicine and graduated in 2012 and has 13 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Premier Dermatology Pllc and his current practice location is 901 Se Plaza Ave Ste 5, Bentonville, Arkansas. You can reach out to his office (for appointments etc.) via phone at (479) 876-8550.

Dr Blake Anthony Williams is licensed to practice in Arkansas (license number E-9143) 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 1194082057.

Contact Information

	Dr Blake Anthony Williams, MD
	901 Se Plaza Ave Ste 5, Bentonville, AR 72712-5473
	(479) 876-8550
	(479) 208-4266

Map and Direction

Physician's Profile

Full Name	Dr Blake Anthony Williams
Gender	Male
Speciality	Dermatology
Experience	13 Years
Location	901 Se Plaza Ave Ste 5, Bentonville, Arkansas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Blake Anthony Williams attended and graduated from University Of Arkansas College Of Medicine in 2012

NPI Data:

NPI Number: 1194082057
Provider Enumeration Date: 04/17/2012
Last Update Date: 11/03/2025

Medicare PECOS Information:

PECOS PAC ID: 3779800073
Enrollment ID: I20160715000172

Medical Identifiers

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

Identifier	Type	State	Issuer
1194082057	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	E-9143 (Arkansas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Premier Dermatology Pllc	4082926803	15

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

Entity Name	Premier Dermatology Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386022283 PECOS PAC ID: 4082926803 Enrollment ID: O20150708001957

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 Blake 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 Blake Anthony Williams, MD 1651 E Stearns St Ste 110, Fayetteville, AR 72703-6196 Ph: (479) 876-8550	Dr Blake Anthony Williams, MD 901 Se Plaza Ave Ste 5, Bentonville, AR 72712-5473 Ph: (479) 876-8550

Reviews and Comments

Dermatology Doctors in Bentonville, AR

Kattie J Allen, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 901 Se Plaza Ave Ste 5, Bentonville, AR 72712 Phone: 479-876-8550 Fax: 479-208-4266
Cheri Caroline Cunningham, M.D Dermatology Medicare: Accepting Medicare Assignments Practice Location: 901 Se Plaza Ave Ste 5, Bentonville, AR 72712 Phone: 479-273-3376 Fax: 479-273-3468
Laura Raquel Battle, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 901 Se Plaza Ave Ste 5, Bentonville, AR 72712 Phone: 479-876-8550 Fax: 479-208-4266
Dr. Mildred Murphy Clifton, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 901 Se Plaza Ave, Ste 5, Bentonville, AR 72712 Phone: 479-273-3376 Fax: 479-273-3468
Dr. Courtney Selck Book, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 901 Se Plaza Ave Ste 5, Bentonville, AR 72712 Phone: 479-876-8550 Fax: 479-208-4266

Dr Blake Anthony Williams, MD - Medicare Dermatology in Bentonville, AR