Dr Tavares Kinte Williams, MD is a medicare enrolled "Pediatrics" physician in Mc Kenzie, Tennessee. His current practice location is
205 Hospital Dr, Suite A, Mc Kenzie, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(731) 352-7907.
Dr Tavares Kinte Williams is licensed to practice in Tennessee (license number 46412) 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 1669629531.
Physician's Profile
| Full Name | Dr Tavares Kinte Williams |
|---|
| Gender | Male |
|---|
| Speciality | Pediatrics |
|---|
| Location | 205 Hospital Dr, Mc Kenzie, Tennessee |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1669629531
- Provider Enumeration Date: 08/22/2008
- Last Update Date: 12/01/2011
Medicare PECOS Information:
- PECOS PAC ID: 1850578659
- Enrollment ID: I20110603000285
Medical Identifiers
Medical identifiers for Dr Tavares Kinte Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669629531 | NPI | - | NPPES |
| 1519998 | Medicaid | TN | |
| 3380640 | Other | TN | MEDICAID GROUP |
| 3380640 | Other | TN | MEDICARE GROUP |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 46412 (Tennessee) | 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 Tavares Kinte Williams allows following entities to bill medicare on his behalf.
| Entity Name | Urgent Care For Children, Pllc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1205434420
PECOS PAC ID: 0941613871
Enrollment ID: O20210113001648 |
|---|
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 Tavares Kinte 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 Tavares Kinte Williams, MD
205 Hospital Dr, Suite A,
Mc Kenzie, TN 38201-1649
Ph: (731) 352-7907 | Dr Tavares Kinte Williams, MD
205 Hospital Dr, Suite A,
Mc Kenzie, TN 38201-1649
Ph: (731) 352-7907 |
Reviews and Comments