William Fowlkes Iv, MD is a medicare enrolled "Emergency Medicine" physician in Louisburg, North Carolina. His current practice location is
100 Hospital Dr, Louisburg, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(919) 497-8411.
William Fowlkes Iv is licensed to practice in North Carolina (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1265592430.
Physician's Profile
| Full Name | William Fowlkes Iv |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 100 Hospital Dr, Louisburg, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1265592430
- Provider Enumeration Date: 12/11/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 0345221784
- Enrollment ID: I20040608001116
Medical Identifiers
Medical identifiers for William Fowlkes Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1265592430 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207P00000X | Emergency Medicine | (North Carolina) | 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. William Fowlkes Iv allows following entities to bill medicare on his behalf.
| Entity Name | Wilson Emergency Physician Partners Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1851526644 PECOS PAC ID: 8224189386 Enrollment ID: O20090630000665 |
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| Entity Name | Emergency Coverage Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20100202000365 |
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| Entity Name | Robeson Emergency Physicians Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801375373 PECOS PAC ID: 3870846934 Enrollment ID: O20181019001201 |
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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 Fowlkes Iv 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 |
William Fowlkes Iv, MD 861 Sw 78th Ave, Suite # 100b, Plantation, FL 33324-3273 Ph: () - | William Fowlkes Iv, MD 100 Hospital Dr, Louisburg, NC 27549-2256 Ph: (919) 497-8411 |
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