Dr Blake Anthony Williams, MD - Medicare Dermatology 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 12 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, Suite 5, Bentonville, Arkansas. You can reach out to his office (for appointments etc.) via phone at (479) 273-3376.

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, Suite 5,
Bentonville, AR 72712-5697
(479) 273-3376
Not Available

Map and Direction




Physician's Profile

Full NameDr Blake Anthony Williams
GenderMale
SpecialityDermatology
Experience12 Years
Location901 Se Plaza Ave, Bentonville, Arkansas
Accepts Medicare AssignmentsYes. 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: 11/23/2022
  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.
IdentifierTypeStateIssuer
1194082057NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology E-9143 (Arkansas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Premier Dermatology Pllc408292680314

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 NamePremier Dermatology Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice Location Address
Dr Blake Anthony Williams, MD
901 Se Plaza Ave, Suite 5,
Bentonville, AR 72712-5697

Ph: (479) 273-3376
Dr Blake Anthony Williams, MD
901 Se Plaza Ave, Suite 5,
Bentonville, AR 72712-5697

Ph: (479) 273-3376

Reviews and Comments


Dermatology Doctors in Bentonville, AR

Kattie J Allen, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 901 Se Plaza Ave, Suite 5, Bentonville, AR 72712
Phone: 479-273-3376    Fax: 479-273-3468
Dr. Eric Eugene Belin, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 901 Se Plaza Ave Ste 5, Bentonville, AR 72712
Phone: 479-273-3376    
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: 479-254-9662    
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: 479-273-3376    Fax: 479-273-3468

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.