Rebecca W Widener

MD. | Pediatric Infectious Diseases | Female

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Complete Profile:

Rebecca W Widener basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Infectious Diseases
Provider Name :	Rebecca W Widener
Other Name :	Rebecca Grace Williams
Credential :	MD.
Gender :	Female

Business Address:

Rebecca W Widener 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 :	9 Richland Medical Park Dr Ste 210 Columbia, SC, 29203-6859 United States
Phone Number :	803-434-7995
Fax Number :	803-434-7983

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 :	1831352368
NPI Entity Type :	Individual
First Enrolment Date :	03 Jul, 2008
Last Updated On :	21 Mar, 2018

Medicare Participation:

Rebecca W Widener participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	1850450917
Medicare Enrollment ID :	I20120816000944
Primary Specialty :	Infectious Disease
Medical School :	Medical University Of South Carolina College Of Medicine
Graduation Year :	2005
Accepts Medicare?	Yes. Rebecca W Widener accepts medicare insurance.

Group Practice Association:

Rebecca W Widener 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 Rebecca W Widener is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Prisma Health Medical Group-midlands	5991099707	843	9 Richland Medical Park Dr Suite 210 Columbia, SC - 292036859 Ph: 8039355604	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 Rebecca W Widener are as mentioned. Primary taxonomy code for Rebecca W Widener, MD. is 2080P0208X (Pediatrics Pediatric Infectious Diseases).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	41967	KY
208000000X	Pediatrics	No	29634	AL
208000000X	Pediatrics	No	34493	SC
2080P0208X	Pediatrics Pediatric Infectious Diseases	Yes	34493	SC

Legacy Identifiers:

Other legacy medical identifiers of Rebecca W Widener such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
AA89852389	Other	SC	MEDICARE PTAN
344933	MEDICAID	SC
112097	MEDICAID	AL

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 743904 Atlanta, GA, 30374-3904 United States
Phone Number :	803-296-7320
Fax Number :	803-296-7330

Business Location:

Patients can refer following map for directions to Rebecca W Widener practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.