| Michael Tyelar Williams, MD | |
| 
					404 S White St, Athens, TN 37303-4732  | |
| (423) 745-4322 | |
| Not Available | 
| Full Name | Michael Tyelar Williams | 
|---|---|
| Gender | Male | 
| Speciality | Family Medicine | 
| Location | 404 S White St, Athens, Tennessee | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1992781751 | NPI | - | NPPES | 
| 38893201 | Medicaid | TN | |
| 080012905B | Medicaid | GA | |
| 5904043 | Medicaid | NC | |
| 4155984 | Other | TN | BCBS | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | MD37798 (Tennessee) | Primary | 
| Entity Name | Southeastern Emergency Physicians Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050125000997  | 
| Entity Name | Well-key Health Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1114234382 PECOS PAC ID: 1254528763 Enrollment ID: O20101209001106  | 
| Entity Name | Dx Mso Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1225381148 PECOS PAC ID: 7719131101 Enrollment ID: O20130213000017  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Michael Tyelar Williams, MD 2522 Highway 39 E, Englewood, TN 37329-5362 Ph: () -  | Michael Tyelar Williams, MD 404 S White St, Athens, TN 37303-4732 Ph: (423) 745-4322  | 
Dr. William R Bowers, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 719 Cook Dr, Suite 102, Athens, TN 37303 Phone: 423-745-1277 Fax: 423-745-2188  | |
Katherine R Hall, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 711 Cook Dr, Ste 100, Athens, TN 37303 Phone: 423-744-7585 Fax: 423-744-7075  | |
David Ryan Childress, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 711 Cook Dr, Suite 100, Athens, TN 37303 Phone: 423-744-7585 Fax: 423-744-7075  | |
Dr. Kathryn Anne Hawks, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1031 W. Madison Ave, Athens, TN 37303 Phone: 423-745-6575 Fax: 833-916-2416  | |
Benjamin Scott Coffey, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Decatur Pike, Athens, TN 37303 Phone: 423-745-2500 Fax: 423-745-2571  | |
Dr. Trent Wesley Mcdaniel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2037 Congress Pkwy S, Athens, TN 37303 Phone: 423-381-0152 Fax: 423-381-8063  | |
David L Byrd, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 711 Cook Dr, Suite 100, Athens, TN 37303 Phone: 423-744-7585 Fax: 423-744-7075  |