| Kevin G Williams, MD | |
|
320 Keystone Ave, Peckville, PA 18452-2242 | |
| (570) 489-0871 | |
| (570) 489-8021 |
| Full Name | Kevin G Williams |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 40 Years |
| Location | 320 Keystone Ave, Peckville, Pennsylvania |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750361168 | NPI | - | NPPES |
| 001162219 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD040444E (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Geisinger-community Medical Center | Scranton, PA | Hospital |
| Wilkes-barre General Hospital | Wilkes-barre, PA | Hospital |
| Wayne Memorial Hospital | Honesdale, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Geisinger Clinic | 5395657001 | 3078 |
| Entity Name | Geisinger Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin G Williams, MD 320 Keystone Ave, Peckville, PA 18452-2242 Ph: (570) 489-0871 | Kevin G Williams, MD 320 Keystone Ave, Peckville, PA 18452-2242 Ph: (570) 489-0871 |
Randall George Brundage, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 320 Keystone Ave, Peckville, PA 18452 Phone: 570-489-0871 Fax: 570-489-8021 | |
Dr. Rajan Mulloth, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 Main St, Peckville, PA 18452 Phone: 570-383-0236 Fax: 570-383-3681 | |
Anthony William Freda, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 320 Keystone Ave, Peckville, PA 18452 Phone: 570-489-0871 Fax: 570-489-8021 | |
Meena Desai, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 29 Depot Street, Peckville, PA 18452 Phone: 570-383-7233 Fax: 570-489-2802 | |
Dr. Frank M Moro, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1400 Main St, Peckville, PA 18452 Phone: 570-383-0236 |