Kendrick J Williams, MD - Medicare Student in an Organized Health Care Education/Training Program in Dearborn, MI

Kendrick J Williams, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Dearborn, Michigan. His current practice location is 5250 Auto Club Dr Ste 290a, Dearborn, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 240-4900.

Kendrick J Williams is licensed to practice in * (Not Available) (license number ) 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 1104494798.

Contact Information

Kendrick J Williams, MD
5250 Auto Club Dr Ste 290a,
Dearborn, MI 48126-2619
(313) 240-4900
Not Available



Physician's Profile

Full NameKendrick J Williams
GenderMale
SpecialityStudent In An Organized Health Care Education/training Program
Location5250 Auto Club Dr Ste 290a, Dearborn, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104494798
  • Provider Enumeration Date: 06/11/2021
  • Last Update Date: 04/10/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1052716123
  • Enrollment ID: I20210827001260

Medical Identifiers

Medical identifiers for Kendrick J Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104494798NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 2022039727 (Missouri)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Primary

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. Kendrick J Williams 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
Kendrick J Williams, MD
5250 Auto Club Dr Ste 290a,
Dearborn, MI 48126-2619

Ph: () -
Kendrick J Williams, MD
5250 Auto Club Dr Ste 290a,
Dearborn, MI 48126-2619

Ph: (313) 240-4900

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