| Dr Blake Anthony Williams, MD | |
|
14 Riordan Rd, Bella Vista, AR 72714-3516 | |
| (479) 876-8550 | |
| (479) 208-4266 |
| Full Name | Dr Blake Anthony Williams |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 14 Years |
| Location | 14 Riordan Rd, Bella Vista, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194082057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | E-9143 (Arkansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| True Dermatology Pllc | 4082926803 | 15 |
| 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 |
| 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 14 Riordan Rd, Bella Vista, AR 72714-3516 Ph: (479) 876-8550 |
Kattie J Allen, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 14 Riordan Rd, Bella Vista, AR 72714 Phone: 479-876-8550 Fax: 479-208-4266 | |
Dr. Eric Eugene Belin, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 14 Riordan Rd, Bella Vista, AR 72714 Phone: 479-876-8550 Fax: 479-208-4266 | |
Dr. Courtney Selck Book, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 14 Riordan Rd, Bella Vista, AR 72714 Phone: 479-876-8550 Fax: 479-208-4266 |