| Kyle Alexander Derrick Williams, MD | |
|
1050 Old Camp Rd Ste 150, The Villages, FL 32162-1723 | |
| (352) 399-7295 | |
| (352) 399-7294 |
| Full Name | Kyle Alexander Derrick Williams |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Location | 1050 Old Camp Rd Ste 150, The Villages, Florida |
| 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 |
|---|---|---|---|
| 1982353306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | ME164450 (Florida) | Primary |
| 207R00000X | Internal Medicine | TRN35904 (Florida) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mayo Clinic | Jacksonville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mayo Clinic Jacksonville | 5698689297 | 1595 |
| Entity Name | Mayo Clinic Jacksonville |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790772317 PECOS PAC ID: 5698689297 Enrollment ID: O20031118000388 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle Alexander Derrick Williams, MD 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 Ph: (904) 953-2000 | Kyle Alexander Derrick Williams, MD 1050 Old Camp Rd Ste 150, The Villages, FL 32162-1723 Ph: (352) 399-7295 |
Charles F Knapp Iii, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2783 Brownwood Blvd, The Villages, FL 32163 Phone: 352-834-7546 |
George Edwin Vonhilsheimer Iv, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1950 Laurel Manor Dr Ste 124, The Villages, FL 32162 Phone: 813-321-1786 Fax: 813-321-1787 |
Dr. Brandon Max Markus, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2783 Brownwood Blvd, The Villages, FL 32163 Phone: 352-834-7546 Fax: 352-383-1951 |
David John Casper, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 8620a E County Road 466, The Villages, FL 32162 Phone: 352-399-7295 Fax: 352-399-7294 |
Dr. Tarek S Shaath, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1040 Lake Sumter Lndg, The Villages, FL 32162 Phone: 352-218-3211 Fax: 877-699-3709 |
Trisha Khanna, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1580 Santa Barbara Blvd, The Villages, FL 32159 Phone: 352-516-3972 |
Thi Thien Tran, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1950 Laurel Manor Dr, Bldg 220 Ste 224, The Villages, FL 32162 Phone: 352-751-6565 Fax: 352-205-7777 |