| Randall P Williams, MD | |
|
146 Medical Park Rd Ste 108, Mooresville, NC 28117-8529 | |
| (704) 662-0877 | |
| (704) 662-0875 |
| Full Name | Randall P Williams |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 36 Years |
| Location | 146 Medical Park Rd Ste 108, Mooresville, North Carolina |
| 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 |
|---|---|---|---|
| 1518076660 | NPI | - | NPPES |
| 87895 | Other | NC | BCBS |
| 8987895 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 36454 (North Carolina) | Primary |
| 174400000X | Specialist | 36454 (North Carolina) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lake Norman Regional Medical Center | Mooresville, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lake Norman Anesthesia Associates | 1951396126 | 23 |
| Entity Name | Lake Norman Anesthesia Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386753457 PECOS PAC ID: 1951396126 Enrollment ID: O20040416001309 |
| Mailing Address | Practice Location Address |
|---|---|
| Randall P Williams, MD 146 Medical Park Rd, Ste 108, Mooresville, NC 28117-8529 Ph: (704) 662-0877 | Randall P Williams, MD 146 Medical Park Rd Ste 108, Mooresville, NC 28117-8529 Ph: (704) 662-0877 |
Dr. Joshua W Courtney, DO Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 344 Rolling Hill Rd, Mooresville, NC 28117 Phone: 704-464-4439 Fax: 704-664-8802 | |
Christopher J Yates, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 131 Medical Park Rd, Suite 201, Mooresville, NC 28117 Phone: 704-662-0877 Fax: 704-662-0875 | |
Jonathan Mcmullen, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 340 Riverwood Rd, Mooresville, NC 28117 Phone: 704-928-5174 Fax: 704-662-6946 |