Jonathan Edward Williams, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Ann Arbor, Michigan. His current practice location is
1500 E Medical Center Dr. Spc 5332, Taubman Center, Second Floor, Reception F, Ann Arbor, Michigan. You can reach out to his office (for appointments etc.) via phone at
(734) 936-5738.
Jonathan Edward Williams is licensed to practice in Michigan (license number ) 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 1467075580.
Physician's Profile
| Full Name | Jonathan Edward Williams |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1500 E Medical Center Dr. Spc 5332, Ann Arbor, Michigan |
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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: 1467075580
- Provider Enumeration Date: 05/22/2020
- Last Update Date: 12/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 6800217068
- Enrollment ID: I20240104001087
Medical Identifiers
Medical identifiers for Jonathan Edward Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1467075580 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208600000X | Surgery | 4301508780 (Michigan) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Michigan) | 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. Jonathan Edward Williams allows following entities to bill medicare on his behalf.
| Entity Name | Beaumont Medical Group Hospital Based Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427567858 PECOS PAC ID: 3072875889 Enrollment ID: O20180314001796 |
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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. Jonathan Edward 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 |
Jonathan Edward Williams, 1500 E Medical Center Dr., Spc 5332, Taubman Center, Second Floor, Reception F, Ann Arbor, MI 48109-5332 Ph: () - | Jonathan Edward Williams, 1500 E Medical Center Dr. Spc 5332, Taubman Center, Second Floor, Reception F, Ann Arbor, MI 48109-5332 Ph: (734) 936-5738 |
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