Freddie Alvin Williams Jr, MD is a medicare enrolled "Anesthesiology" physician in La, California. His current practice location is
4060 Whittier Blvd, La, California. You can reach out to his office (for appointments etc.) via phone at
(323) 268-5514.
Freddie Alvin Williams Jr is licensed to practice in California (license number A53688) 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 1255369450.
Physician's Profile
| Full Name | Freddie Alvin Williams Jr |
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| Gender | Male |
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| Speciality | Anesthesiology |
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| Location | 4060 Whittier Blvd, La, California |
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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: 1255369450
- Provider Enumeration Date: 06/28/2006
- Last Update Date: 03/14/2011
Medicare PECOS Information:
- PECOS PAC ID: 1052597895
- Enrollment ID: I20110512000404
Medical Identifiers
Medical identifiers for Freddie Alvin Williams Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1255369450 | NPI | - | NPPES |
| 00A536880 | Other | CA | BLUE SHIELD |
| 00A536880 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207L00000X | Anesthesiology | A53688 (California) | Primary |
| 208VP0000X | Pain Medicine - Pain Medicine | A53688 (California) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | A53688 (California) | Secondary |
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. Freddie Alvin Williams Jr allows following entities to bill medicare on his behalf.
| Entity Name | County of Los Angeles |
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| Entity Type | Part B Supplier - Ambulatory Surgical Center |
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| Entity Identifiers | NPI Number: 1780877613 PECOS PAC ID: 1850296534 Enrollment ID: O20090713000358 |
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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. Freddie Alvin Williams Jr 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 |
Freddie Alvin Williams Jr, MD Po Box 1229, So Pasadena, CA 91031-1229 Ph: (213) 842-4354 | Freddie Alvin Williams Jr, MD 4060 Whittier Blvd, La, CA 90023-3526 Ph: (323) 268-5514 |
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