William C Lavely, MD is a medicare enrolled "Nuclear Medicine" physician in Atlanta, Georgia. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Nuclear Medicine. He is a member of the group practice Northside Radiology Associates Llc and his current practice location is
1000 Johnson Ferry Road, Atlanta, Georgia. You can reach out to his office (for appointments etc.) via phone at
(404) 851-6323.
William C Lavely is licensed to practice in Georgia (license number 042877) 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 1164449146.
Physician's Profile
| Full Name | William C Lavely |
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| Gender | Male |
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| Speciality | Nuclear Medicine |
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| Experience | 29 Years |
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| Location | 1000 Johnson Ferry Road, Atlanta, Georgia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- William C Lavely attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 1995
NPI Data:
- NPI Number: 1164449146
- Provider Enumeration Date: 07/16/2006
- Last Update Date: 05/03/2019
Medicare PECOS Information:
- PECOS PAC ID: 0042223539
- Enrollment ID: I20060731000184
Medical Identifiers
Medical identifiers for William C Lavely such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164449146 | NPI | - | NPPES |
| P00340704 | Other | GA | RAILROAD MEDICARE |
| 000740693B | Other | GA | PEACH STATE HEALTH PLAN |
| 000740693B | Medicaid | GA | |
| 10070880 | Other | GA | AMERIGROUP |
| 52670338002 | Other | GA | BCBS |
| N361611 | Other | GA | WELLCARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085R0202X | Radiology - Diagnostic Radiology | D0063572 (Maryland) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 042877 (Georgia) | Secondary |
| 207U00000X | Nuclear Medicine | 042877 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Northside Radiology Associates Llc | 4486555398 | 213 |
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. William C Lavely allows following entities to bill medicare on his behalf.
| Entity Name | Northside Radiology Associates Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013960657
PECOS PAC ID: 4486555398
Enrollment ID: O20040115000095 |
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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. William C Lavely 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 |
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William C Lavely, MD
5605 Glenridge Dr Ste 325,
Atlanta, GA 30342-1365
Ph: (678) 553-7783 | William C Lavely, MD
1000 Johnson Ferry Road,
Atlanta, GA 30342
Ph: (404) 851-6323 |
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