Tom Ellis Williams, MD in San Ysidro, CA - Medicare Family Practice

Tom Ellis Williams, MD is a medicare enrolled "Family Medicine" physician in San Ysidro, California. He graduated from medical school in 2003 and has 23 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Southern California Permanente Medical Group and his current practice location is 4004 Beyer Blvd, San Ysidro, California. You can reach out to his office (for appointments etc.) via phone at (619) 428-1330.

Tom Ellis Williams is licensed to practice in California (license number A100446) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1932393220.

Contact Information

	Tom Ellis Williams, MD
	4004 Beyer Blvd, San Ysidro, CA 92173-2007
	(619) 428-1330
	(619) 428-7952

Map and Direction

Physician's Profile

Full Name	Tom Ellis Williams
Gender	Male
Speciality	Family Practice
Experience	23 Years
Location	4004 Beyer Blvd, San Ysidro, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tom Ellis Williams graduated from medical school in 2003

NPI Data:

NPI Number: 1932393220
Provider Enumeration Date: 08/30/2007
Last Update Date: 12/01/2021

Medicare PECOS Information:

PECOS PAC ID: 9335239672
Enrollment ID: I20071226000330

Medical Identifiers

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

Identifier	Type	State	Issuer
1932393220	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	A100446 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern California Permanente Medical Group	6002729175	9038

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. Tom Ellis Williams allows following entities to bill medicare on his behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Tom Ellis 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
Tom Ellis Williams, MD 4004 Beyer Blvd, San Ysidro, CA 92173-2007 Ph: (619) 428-1330	Tom Ellis Williams, MD 4004 Beyer Blvd, San Ysidro, CA 92173-2007 Ph: (619) 428-1330

Reviews and Comments

Family Medicine Doctors in San Ysidro, CA

Michelle Stephanie Lough, Family Medicine Medicare: Medicare Enrolled Practice Location: 1666 Precision Park Ln, San Ysidro, CA 92173 Phone: 619-662-4100
Jay Downey, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-424-4463 Fax: 619-428-7952
Dr. Justin Michael Bennink, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100
Cesar Duque Gomez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100 Fax: 619-428-7952
Karla Jannet Garcia, M.D., M.P.H. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-205-6349 Fax: 619-428-7952
Dr. Ryan William Mcintyre, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100
Charles R Davis, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 303-579-9268

Tom Ellis Williams, MD - Medicare Family Practice in San Ysidro, CA