Erica Williams, is a medicare enrolled "Nurse Practitioner" physician in Richmond, Virginia. Her current practice location is
1201 Broad Rock Blvd, Richmond, Virginia. You can reach out to her office (for appointments etc.) via phone at
(804) 675-5000.
Erica Williams is licensed to practice in Virginia (license number 0024174067) 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 1417488644.
Physician's Profile
Full Name | Erica Williams |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 1201 Broad Rock Blvd, Richmond, Virginia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1417488644
- Provider Enumeration Date: 03/21/2017
- Last Update Date: 07/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 5890066294
- Enrollment ID: I20170803001092
Medical Identifiers
Medical identifiers for Erica Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417488644 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208200000X | Plastic Surgery | 0024174067 (Virginia) | Secondary |
208600000X | Surgery | 0024174067 (Virginia) | Secondary |
2086X0206X | Surgery - Surgical Oncology | 0024174967 (Virginia) | Secondary |
364SX0200X | Clinical Nurse Specialist - Oncology | 0024174067 (Virginia) | Secondary |
363L00000X | Nurse Practitioner | 0024174067 (Virginia) | 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. Erica Williams allows following entities to bill medicare on her behalf.
Entity Name | Bon Secours St Marys Hospital Of Richmond Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1962464016 PECOS PAC ID: 8527969476 Enrollment ID: O20040324000566 |
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Entity Name | Bon Secours Memorial Regional Medical Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1881795557 PECOS PAC ID: 6507775293 Enrollment ID: O20040726000687 |
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Entity Name | Bon Secours Medical Group Richmond Specialty Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1477112225 PECOS PAC ID: 8022440056 Enrollment ID: O20191113002170 |
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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. Erica 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 |
Erica Williams, 11637 Parrish Creek Ln, Chesterfield, VA 23832-4074 Ph: (804) 316-1204 | Erica Williams, 1201 Broad Rock Blvd, Richmond, VA 23249-3201 Ph: (804) 675-5000 |
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