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Medicare enrollment lookup

One provider matched this enrollment ID.

Enrollment ID I20100520000693 resolves to a single NPI record. Open the full profile for complete detail.

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WD
NPI · 1750342804 · Active
William Dedman MD
Family Medicine · Camden, Arkansas
Active
NPI
1750342804
Enrollment ID
I20100520000693
Taxonomy
207Q00000X
Type
Practitioner - Family Practice

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 271402AR· Issued by HEALTHLINK
  • 13273000000AR· Issued by QUALCHOICE
  • 4389541· Issued by AETNA
  • 0122136AR· Issued by UNITED HEALTHCARE
  • 770001401AR· Issued by BREASTCARE

Medicaid

Source: NPPES public registry.

ReferenceAbout Medicare Enrollment IDs

A Medicare Enrollment ID (ENRLMT_ID) is a 15-character public identifier assigned by the CMS Provider Enrollment, Chain and Ownership System (PECOS) when a provider, supplier, or organisation enrols in Medicare. Each row reflects one enrolment record: a single NPI can hold multiple enrolments across provider types, states, or supplier categories. Data here is mirrored from the quarterly public PECOS enrolment file published on data.cms.gov.