Jacob Earl Williams, in Tulsa, OK - Medicare Chiropractor Provider

Jacob Earl Williams, is a medicare enrolled "Chiropractor" provider in Tulsa, Oklahoma. His current practice location is 6305 E 120th Ct Unit D, Tulsa, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (918) 852-0110.

Jacob Earl Williams is licensed to practice in Oklahoma (license number 4480) 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 1265141253.

Contact Information

	Jacob Earl Williams,
	6305 E 120th Ct Unit D, Tulsa, OK 74137-8810
	(918) 852-0110
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacob Earl Williams
Gender	Male
Speciality	Chiropractor
Location	6305 E 120th Ct Unit D, Tulsa, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265141253
Provider Enumeration Date: 11/17/2022
Last Update Date: 11/17/2022

Medicare PECOS Information:

PECOS PAC ID: 9638527005
Enrollment ID: I20231122002662

Medical Identifiers

Medical identifiers for Jacob Earl Williams such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265141253	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	4480 (Oklahoma)	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. Jacob Earl Williams allows following entities to bill medicare on his behalf.

Provider Name	Cornerstone Chiropractic Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1154859627 PECOS PAC ID: 6002184934 Enrollment ID: O20170619002209

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. Jacob Earl 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 Address	Practice Location Address
Jacob Earl Williams, 20907 E 34th Pl S, Broken Arrow, OK 74014-5108 Ph: (918) 852-0110	Jacob Earl Williams, 6305 E 120th Ct Unit D, Tulsa, OK 74137-8810 Ph: (918) 852-0110

Reviews and Comments

Chiropractor in Tulsa, OK

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Jacob Earl Williams, - Medicare Chiropractor in Tulsa, OK