Dan A Williams Jr, - Medicare Emergency Medicine in South Boston, VA

Dan A Williams Jr, is a medicare enrolled "Emergency Medicine" physician in South Boston, Virginia. His current practice location is 2232 Wilborn Ave, South Boston, Virginia. You can reach out to his office (for appointments etc.) via phone at (434) 517-3832.

Dan A Williams Jr is licensed to practice in Virginia (license number 0102201639) 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 1205843489.

Contact Information

Dan A Williams Jr,
2232 Wilborn Ave,
South Boston, VA 24592
(434) 517-3832
(434) 517-3649



Physician's Profile

Full NameDan A Williams Jr
GenderMale
SpecialityEmergency Medicine
Location2232 Wilborn Ave, South Boston, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205843489
  • Provider Enumeration Date: 08/01/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 9638126709
  • Enrollment ID: I20050401000110

Medical Identifiers

Medical identifiers for Dan A Williams Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205843489NPI-NPPES
P00301678OtherVARR MCARE
462324OtherVAANTHEM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 0102201639 (Virginia)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. Dan A Williams Jr allows following entities to bill medicare on his behalf.
Entity NameTampa Bay Emergency Physicians, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114977428
PECOS PAC ID: 0345260345
Enrollment ID: O20051206000518

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Entity NamePasco County Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568771707
PECOS PAC ID: 7911196241
Enrollment ID: O20110118000666

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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. Dan A Williams Jr 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 AddressPractice Location Address
Dan A Williams Jr,
Po Box 1115,
South Boston, VA 24592

Ph: (434) 517-3515
Dan A Williams Jr,
2232 Wilborn Ave,
South Boston, VA 24592

Ph: (434) 517-3832

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› Verified 4 days ago


Emergency Medicine Doctors in South Boston, VA

Rebecca Mae Kirsch, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 2204 Wilborn Ave, South Boston, VA 24592
Phone: 434-517-3590    Fax: 434-572-4549
Michael Weston Mcdowell, DO
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2204 Wilborn Ave, South Boston, VA 24592
Phone: 434-517-3660    
Dr. Charles Spencer Bibbs, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 2100 Wilborn Ave, South Boston, VA 24592
Phone: 434-517-3100    
Victor Mihal, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2204 Wilborn Ave, South Boston, VA 24592
Phone: 434-517-3100    Fax: 434-517-3626
James Mccubbin, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2204 Wilborn Ave, South Boston, VA 24592
Phone: 434-517-3123    

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