| Thomas M Williams, PA | |
|
1204 Massey Ave., Nbhc Family Practice, Mayport, FL 32228-0000 | |
| (904) 270-4220 | |
| (904) 270-4448 |
| Full Name | Thomas M Williams |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 26 Years |
| Location | 1204 Massey Ave., Mayport, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225016439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension St Vincent's Southside | Jacksonville, FL | Hospital |
| Ascension St Vincent's St Johns County | St johns, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Vincent's Ambulatory Care Inc | 2860411188 | 303 |
| Entity Name | St Vincent's Ambulatory Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417987124 PECOS PAC ID: 2860411188 Enrollment ID: O20051116000430 |
| Entity Name | St Vincent's Full Service Urgent Care, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750672051 PECOS PAC ID: 4183879364 Enrollment ID: O20130220000322 |
| Entity Name | W4p LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689116618 PECOS PAC ID: 9931489473 Enrollment ID: O20161129001991 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas M Williams, PA 1204 Massey Ave., Nbhc Family Practice, Mayport, FL 32228-0000 Ph: (904) 270-4220 | Thomas M Williams, PA 1204 Massey Ave., Nbhc Family Practice, Mayport, FL 32228-0000 Ph: (904) 270-4220 |