William M Hammesfahr, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Lady Lake, Florida. His current practice location is
510 Cr 466, Ste 207 D, Lady Lake, Florida. You can reach out to his office (for appointments etc.) via phone at
(352) 414-5322.
William M Hammesfahr is licensed to practice in Florida (license number ME 52212) 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 1962446500.
Physician's Profile
| Full Name | William M Hammesfahr |
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| Gender | Male |
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| Speciality | Psychiatry & Neurology - Neurology |
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| Location | 510 Cr 466, Lady Lake, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1962446500
- Provider Enumeration Date: 06/15/2006
- Last Update Date: 03/25/2014
Medicare PECOS Information:
- PECOS PAC ID: 8820047400
- Enrollment ID: I20050120000981
Medical Identifiers
Medical identifiers for William M Hammesfahr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962446500 | NPI | - | NPPES |
| ME 0052212 | Other | FL | MEDICAL LICENSE |
| 271074900 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | ME 52212 (Florida) | Primary |
| 2084P0005X | Psychiatry & Neurology - Neurodevelopmental Disabilities | ME52212 (Florida) | Secondary |
| 2084P2900X | Psychiatry & Neurology - Pain Medicine | ME52212 (Florida) | Secondary |
| 2084V0102X | Psychiatry & Neurology - Vascular Neurology | ME52212 (Florida) | Secondary |
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 M Hammesfahr allows following entities to bill medicare on his behalf.
| Entity Name | Tricounty Specialists, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528308095
PECOS PAC ID: 8729225909
Enrollment ID: O20130507000305 |
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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 M Hammesfahr 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 M Hammesfahr, MD
19740 Gulf Boulevard,
Redington Shores, FL 33708-1146
Ph: (352) 217-7425 | William M Hammesfahr, MD
510 Cr 466, Ste 207 D,
Lady Lake, FL 32159
Ph: (352) 414-5322 |
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