| Dr Wendell Hiebert Williams Jr, MD | |
|
1361 13th Ave S Ste 245, Jacksonville Beach, FL 32250 | |
| (904) 493-7174 | |
| (904) 694-0696 |
| Full Name | Dr Wendell Hiebert Williams Jr |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Pulmonary Disease |
| Location | 1361 13th Ave S Ste 245, Jacksonville Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376509679 | NPI | - | NPPES |
| 004E6 | Other | FL | FLORIDA BLUE - GROUP |
| 0082748-00 | Medicaid | FL | |
| 40538 | Other | FL | AVMED |
| 0098365-00 | Other | FL | FL MEDICAID - GROUP |
| 1608901 | Other | FL | CIGNA |
| PO1494164 | Other | FL | RR MEDICARE |
| 78589 | Other | FL | FLORIDA BLUE - INDIVIDUAL |
| DT8174 | Other | FL | RR MEDICARE - GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0200X | Internal Medicine - Critical Care Medicine | ME29168 (Florida) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | ME29168 (Florida) | Primary |
| Entity Name | Inpatient Consultants Of Florida, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396795597 PECOS PAC ID: 4789614785 Enrollment ID: O20050819000018 |
| Entity Name | Cisca Pulmonary Critical Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629326285 PECOS PAC ID: 1951552371 Enrollment ID: O20121113000224 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Wendell Hiebert Williams Jr, MD 1361 13th Ave S Ste 245, Jacksonville Beach, FL 32250-3238 Ph: (904) 396-0300 | Dr Wendell Hiebert Williams Jr, MD 1361 13th Ave S Ste 245, Jacksonville Beach, FL 32250 Ph: (904) 493-7174 |
Stephen E Grable, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 1504 Roberts Drive, Jacksonville Beach, FL 32250 Phone: 904-247-7455 Fax: 904-247-8550 | |
Dr. Anne Thu-anh Bui, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 50 3rd Ave S Apt 803, Jacksonville Beach, FL 32250 Phone: 409-354-1961 | |
Dr. Michael B Ibach, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1375 Roberts Dr, Ste 204, Jacksonville Beach, FL 32250 Phone: 904-247-0056 Fax: 904-241-0065 | |
William Wainwright, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 1361 13th Ave S Ste 270, Jacksonville Beach, FL 32250 Phone: 904-241-7147 Fax: 904-241-5492 | |
Thomas Carens Hilton, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1320 Roberts Dr Ste 101, Jacksonville Beach, FL 32250 Phone: 904-241-7147 Fax: 904-376-3213 | |
Juan Daniel Pulido, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1370 13th Ave South, Suite 218, Jacksonville Beach, FL 32250 Phone: 904-853-6154 Fax: 904-853-6412 | |
Dr. Thomas G Gaddis, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 1375 Roberts Dr, Suite 103, Jacksonville Beach, FL 32250 Phone: 904-997-3800 Fax: 904-997-3899 |