Derek Adam Williams

DO | Pediatric Cardiology | Male

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Complete Profile:

Derek Adam Williams basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Cardiology
Provider Name :	Derek Adam Williams
Credential :	DO
Gender :	Male

Business Address:

Derek Adam Williams address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	Medical Center Blvd Winston Salem, NC, 27157-0001 United States
Phone Number :	336-716-2255

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1568577633
NPI Entity Type :	Individual
First Enrolment Date :	20 Aug, 2006
Last Updated On :	18 Jan, 2012

Medicare Participation:

Derek Adam Williams participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	5799717542
Medicare Enrollment ID :	I20070205000365
Primary Specialty :	Cardiovascular Disease (cardiology)
Medical School :	At Still University Of Health Sciences, College Of Osteo Med, Kirksville
Graduation Year :	1999
Accepts Medicare?	Yes. Derek Adam Williams accepts medicare insurance.

Group Practice Association:

Derek Adam Williams is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Derek Adam Williams is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Wake Forest University Health Sciences	4486564952	1942	Medical Ctr Blvd Winston Salem, NC - 271570001 Ph: 3367162734	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Derek Adam Williams are as mentioned. Primary taxonomy code for Derek Adam Williams, DO is 2080P0202X (Pediatrics Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0202X	Pediatrics Pediatric Cardiology	Yes	2006-01306	NC

Legacy Identifiers:

Other legacy medical identifiers of Derek Adam Williams such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
7318722	Other		AETNA
5904911	MEDICAID	NC
143EK	Other		BCBS
2403409	Other		MEDICARE
10401984	MEDICAID	VA
Q0098E	MEDICAID	SC
191438	Other		MEDCOST
808446	Other		PARTNERS
3810007094	MEDICAID	WV

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	Po Box 344 Winston Salem, NC, 27102-0344 United States
Phone Number :	336-716-2255

Business Location:

Patients can refer following map for directions to Derek Adam Williams practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.