William Bonlore Ferguson, PHD, MD
Individual provider Active NPI Nephrology Physician · Palm Coast, FL
NPI 1003842071 · NPPES record last updated Feb 19, 2009
Key facts
- NPI
- 1003842071
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- ME94793 (FL)
- Practice address
- 61 Memorial Medical Pkwy
Suite 3806
Palm Coast, FL 32164-5981 - Phone
- (386) 437-7340
- Fax
- (386) 437-7341
- NPI assigned
- Jun 23, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Nephrology
- Education
- University of Oklahoma College of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Atlantic Nephrology Inc
Practice addresses (Care Compare)
210 Old Kings Rd S
Suite 900
Flagler Beach, FL 32136-4380
Phone (386) 338-3550
Hospital & facility affiliations
- DaVita Palm Coast Dialysis
- DaVita Palm Coast HT at Home
- AdventHealth Palm Coast
- Adventhealth Palm Coast Parkway
- Adventhealth Daytona Beach
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070815000749 | FL | Practitioner - Nephrology |
9335231794 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine, Doctor of Philosophy
Practice roles (4 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlantic Nephrology Inc | Nephrology | Current |
Accepting new patients |
| Vinayak V Purandare MD PL | Nephrology | Past | Accepting new patients |
| Daytona Beach Vascular Access, LLC | Past |
Accepting new patients | |
| Volusia-Flagler Vascular Center LLC | Past |
Accepting new patients |
Locations
210 Old Kings Rd S
Ste 900
Flagler Beach, FL 32136
Phone (383) 338-3550
61 Memorial Medical Pkwy
Ste 3806
Palm Coast, FL 32164
Phone (386) 437-7340
Networks
- FL HMO C-SNP
- FL HMO
- FL HMO D-SNP
- FL PPO
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | ME94793 | FL | Yes |
Addresses
Primary practice location
61 Memorial Medical Pkwy
Suite 3806
Palm Coast, FL 32164-5981
Mailing address
61 Memorial Medical Pkwy
Suite 3806
Palm Coast, FL 32164-5981
Phone (386) 437-7340
Other providers in Palm Coast, FL
- Richard A Fay
- Rachel Febert
- Tanya Feddern-Bekcan
- Amy Christine Federico
- Marta Fenero
- Vanessa Ferketich
- Christina Fernandes
- Belisia Omayra Fernandez
- Ernesto Fernandez
- Fernando Fernandez
All providers in Palm Coast, FL · Nephrology Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.