Dr Kathryn K Williford, MD is a medicare enrolled "Pediatrics" physician in Greensboro, Georgia. Her current practice location is
2011 Westend Dr, Greensboro, Georgia. You can reach out to her office (for appointments etc.) via phone at
(706) 453-9803.
Dr Kathryn K Williford is licensed to practice in Georgia (license number 040114) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1962626572.
Physician's Profile
| Full Name | Dr Kathryn K Williford |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 2011 Westend Dr, Greensboro, Georgia |
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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: 1962626572
- Provider Enumeration Date: 04/13/2007
- Last Update Date: 03/20/2025
Medicare PECOS Information:
- PECOS PAC ID: 2668407875
- Enrollment ID: I20050927000797
Medical Identifiers
Medical identifiers for Dr Kathryn K Williford such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1962626572 | NPI | - | NPPES |
| 000666157F | Medicaid | GA | |
| 000666157G | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208000000X | Pediatrics | 040114 (Georgia) | 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 Kathryn K Williford allows following entities to bill medicare on her behalf.
| Entity Name | Neighborhood Improvement Project, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700900867 PECOS PAC ID: 7315851078 Enrollment ID: O20031117000665 |
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| Entity Name | Au Medical Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841230620 PECOS PAC ID: 9931013513 Enrollment ID: O20040107000188 |
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| Entity Name | Wellstar Medical Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
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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 Kathryn K Williford 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 Kathryn K Williford, MD 2467 Golden Camp Rd, Augusta, GA 30906-5515 Ph: (706) 790-4440 | Dr Kathryn K Williford, MD 2011 Westend Dr, Greensboro, GA 30642-5146 Ph: (706) 453-9803 |
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