| Kathleen Ann Williams, MD | |
|
301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | |
| (386) 231-1091 | |
| (386) 231-1092 |
| Full Name | Kathleen Ann Williams |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 301 Memorial Medical Pkwy, Daytona 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 |
|---|---|---|---|
| 1972588788 | NPI | - | NPPES |
| 100295950D | Medicaid | KS | |
| 004300100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0428411 (Kansas) | Secondary |
| 208000000X | Pediatrics | 0428411 (Kansas) | Secondary |
| 207R00000X | Internal Medicine | ME110163 (Florida) | Primary |
| Entity Name | Comprehensive Hospitalists Of Florida, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457646903 PECOS PAC ID: 6204130883 Enrollment ID: O20160202000229 |
| Entity Name | Rockledge Physician Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538523295 PECOS PAC ID: 1254621048 Enrollment ID: O20160607001833 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen Ann Williams, MD 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 Ph: (386) 231-1091 | Kathleen Ann Williams, MD 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 Ph: (386) 231-1091 |
Thai Quoc Nguyen, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-425-1997 | |
Dr. Richard Carl Weiss, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 303 N Clyde Morris Blvd, Halifax Regional Oncology Center, Daytona Beach, FL 32114 Phone: 386-254-4212 Fax: 386-254-4214 | |
Dhrumil Vijaykumar Patel, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 Memorial Medical Pkwy, Daytona Beach, FL 32117 Phone: 386-231-1091 Fax: 386-231-1092 | |
Alexandra Crossman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-589-5741 | |
Dr. Vinicius Costa Diniz Domingues, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 709 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-252-1632 Fax: 386-257-5526 | |
Dr. Mahmoud S Khalifa, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 301 Memorial Medical Pkwy, Daytona Beach, FL 32117 Phone: 386-231-1091 Fax: 386-231-1092 | |
Dr. David Scott Weinreich, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 731 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-257-1626 Fax: 866-899-3686 |