Dr Bobbili Victor Williams, MD is a medicare enrolled "Internal Medicine" physician in Elizabethtown, North Carolina. His current practice location is
501 S Poplar St, Elizabethtown, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(910) 862-5100.
Dr Bobbili Victor Williams is licensed to practice in North Carolina (license number 2007-01617) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1861506412.
Physician's Profile
Full Name | Dr Bobbili Victor Williams |
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Gender | Male |
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Speciality | Internal Medicine |
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Location | 501 S Poplar St, Elizabethtown, North Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1861506412
- Provider Enumeration Date: 08/19/2006
- Last Update Date: 07/07/2025
Medicare PECOS Information:
- PECOS PAC ID: 5193912327
- Enrollment ID: I20110128000882
Medical Identifiers
Medical identifiers for Dr Bobbili Victor Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861506412 | NPI | - | NPPES |
20881 | Other | SC | MEDICAL LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 20881 (South Carolina) | Secondary |
207R00000X | Internal Medicine | 2007-01617 (North Carolina) | Primary |
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 Bobbili Victor Williams allows following entities to bill medicare on his behalf.
Entity Name | Bladen Healthcare Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1558537282 PECOS PAC ID: 6800967969 Enrollment ID: O20080617000314 |
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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 Bobbili Victor 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 Bobbili Victor Williams, MD Po Box 896261, Charlotte, NC 28289-6261 Ph: () - | Dr Bobbili Victor Williams, MD 501 S Poplar St, Elizabethtown, NC 28337 Ph: (910) 862-5100 |
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