Ericka Marcene Williams, FNP is a medicare enrolled "Family Medicine" physician in Baldwyn, Mississippi. Her current practice location is
1031 Northridge Rd Ste A, Baldwyn, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(662) 365-9305.
Ericka Marcene Williams is licensed to practice in Mississippi (license number 903718) 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 1942810569.
Physician's Profile
| Full Name | Ericka Marcene Williams |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 1031 Northridge Rd Ste A, Baldwyn, Mississippi |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1942810569
- Provider Enumeration Date: 08/07/2020
- Last Update Date: 08/07/2020
Medicare PECOS Information:
- PECOS PAC ID: 7113393182
- Enrollment ID: I20221017000090
Medical Identifiers
Medical identifiers for Ericka Marcene Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942810569 | NPI | - | NPPES |
| 903718 | Other | MS | MISSISSIPPI BOARD OF NURSING (NP LICENSE NUMBER) |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 903718 (Mississippi) | 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. Ericka Marcene Williams allows following entities to bill medicare on her behalf.
| Entity Name | Nursemed Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497820310
PECOS PAC ID: 5294646782
Enrollment ID: O20050105000262 |
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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. Ericka Marcene 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 |
|---|
Ericka Marcene Williams, FNP
7 County Road 468,
Rienzi, MS 38865-9142
Ph: (251) 518-1069 | Ericka Marcene Williams, FNP
1031 Northridge Rd Ste A,
Baldwyn, MS 38824-1173
Ph: (662) 365-9305 |
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