Dr William Conan Mustain, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Oklahoma City, Oklahoma. He went to University Of Mississippi School Of Medicine and graduated in 2007 and has 19 years of diverse experience with area of expertise as Colorectal Surgery (proctology). He is a member of the group practice Mercy Clinic Oklahoma Communities and his current practice location is
4205 Mcauley Blvd Ste 301, Oklahoma City, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(405) 936-5718.
Dr William Conan Mustain is licensed to practice in Oklahoma (license number 42838) 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 1760635890.
Physician's Profile
| Full Name | Dr William Conan Mustain |
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| Gender | Male |
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| Speciality | Colorectal Surgery (proctology) |
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| Experience | 19 Years |
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| Location | 4205 Mcauley Blvd Ste 301, Oklahoma City, Oklahoma |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr William Conan Mustain attended and graduated from University Of Mississippi School Of Medicine in 2007
NPI Data:
- NPI Number: 1760635890
- Provider Enumeration Date: 11/03/2008
- Last Update Date: 03/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 6002121555
- Enrollment ID: I20240404003070
Medical Identifiers
Medical identifiers for Dr William Conan Mustain such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760635890 | NPI | - | NPPES |
| 5ZZ13 | Other | AR | AR BCBS |
| 209704001 | Medicaid | AR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | R1900 (Kentucky) | Secondary |
| 208C00000X | Colon & Rectal Surgery | E-9260 (Arkansas) | Secondary |
| 208600000X | Surgery | E-9260 (Arkansas) | Secondary |
| 208C00000X | Colon & Rectal Surgery | 42838 (Oklahoma) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Mercy Clinic Oklahoma Communities | 1153468921 | 558 |
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 William Conan Mustain allows following entities to bill medicare on his behalf.
| Entity Name | Mercy Clinic Oklahoma Communities |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386874550
PECOS PAC ID: 1153468921
Enrollment ID: O20091027000755 |
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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 William Conan Mustain 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 William Conan Mustain, MD
4205 Mcauley Blvd Ste 301,
Oklahoma City, OK 73120-8347
Ph: (405) 936-5718 | Dr William Conan Mustain, MD
4205 Mcauley Blvd Ste 301,
Oklahoma City, OK 73120-8347
Ph: (405) 936-5718 |
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