Samantha Williams, in Edmonds, WA

Samantha Williams, is a medicare enrolled "Urology" physician in Edmonds, Washington. Her current practice location is 21822 76th Ave W, Edmonds, Washington. You can reach out to her office (for appointments etc.) via phone at (425) 775-7166.

Samantha Williams is licensed to practice in Washington (license number MD61616128) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1508324385.

Contact Information

	Samantha Williams,
	21822 76th Ave W, Edmonds, WA 98026-7900
	(425) 775-7166
	Not Available

Map and Direction

Physician's Profile

Full Name	Samantha Williams
Gender	Female
Speciality	Urology
Location	21822 76th Ave W, Edmonds, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508324385
Provider Enumeration Date: 03/11/2019
Last Update Date: 01/31/2025

Medicare PECOS Information:

PECOS PAC ID: 8022551969
Enrollment ID: I20250205002234

Medical Identifiers

Medical identifiers for Samantha Williams such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508324385	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	MD61616128 (Washington)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Samantha Williams allows following entities to bill medicare on her behalf.

Entity Name	Providence Health & Services-washington
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124270715 PECOS PAC ID: 8325100480 Enrollment ID: O20081224000111

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Samantha Williams is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Samantha Williams, Po Box 3360, Portland, OR 97208-3360 Ph: () -	Samantha Williams, 21822 76th Ave W, Edmonds, WA 98026-7900 Ph: (425) 775-7166

Reviews and Comments

Urology Doctors in Edmonds, WA

Matthew J Watson, DO Urology Medicare: Medicare Enrolled Practice Location: 21822 76th Ave W, Edmonds, WA 98026 Phone: 425-775-7166
Dr. Timothy M Roddy, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 21822 76th Ave W, Edmonds, WA 98026 Phone: 425-775-7166
Wen Chen, Urology Medicare: Medicare Enrolled Practice Location: 21822 76th Ave W, Edmonds, WA 98026 Phone: 425-775-7166
Dr. John D Maldazys, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 21822 76th Ave W, Edmonds, WA 98026 Phone: 425-775-7166
Marco A Salazar, MD, PH.D Urology Medicare: Accepting Medicare Assignments Practice Location: 21822 76th Ave W, Edmonds, WA 98026 Phone: 425-775-7166 Fax: 425-672-8844

Samantha Williams, - Medicare Urology in Edmonds, WA