Stacey Williams, FNP - Medicare in New York, NY

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Stacey Williams, FNP is a medicare enrolled "Nurse Practitioner - Family" provider in New York, New York. Her current practice location is 130 Lenox Ave, New York, New York. You can reach out to her office (for appointments etc.) via phone at (866) 389-2727.

Stacey Williams is licensed to practice in New York (license number 339471) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1285951657.

Contact Information

Stacey Williams, FNP
130 Lenox Ave,
New York, NY 10026-2503
(866) 389-2727
(401) 652-9787

Map and Direction




Healthcare Provider's Profile

Full NameStacey Williams
GenderFemale
SpecialityNurse Practitioner - Family
Location130 Lenox Ave, New York, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1285951657
  • Provider Enumeration Date: 04/26/2010
  • Last Update Date: 12/01/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6800869827
  • Enrollment ID: I20161201001525

Medical Identifiers

Medical identifiers for Stacey Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285951657NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical R045900-1 (New York)Secondary
363LF0000XNurse Practitioner - Family 339471 (New York)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. Stacey Williams allows following entities to bill medicare on her behalf.
Entity NamePark Avenue Pediatrics Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699969543
PECOS PAC ID: 6507010592
Enrollment ID: O20130128000388
Entity NameBeacon Place Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326429630
PECOS PAC ID: 3577866839
Enrollment ID: O20160120000552
Entity NameSentinel Services Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144891375
PECOS PAC ID: 6901290717
Enrollment ID: O20220221001691

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. Stacey 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
Stacey Williams, FNP
915 Westchester Ave,
Bronx, NY 10459-3009

Ph: (718) 764-1570		Stacey Williams, FNP
130 Lenox Ave,
New York, NY 10026-2503

Ph: (866) 389-2727

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.