Joanna Rose Williamson, AGNP is a medicare enrolled "Nurse Practitioner" physician in Randleman, North Carolina. Her current practice location is
670 W Academy St, Randleman, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(336) 498-8500.
Joanna Rose Williamson is licensed to practice in North Carolina (license number 5014497) 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 1457927998.
Physician's Profile
| Full Name | Joanna Rose Williamson |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 670 W Academy St, Randleman, North Carolina |
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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: 1457927998
- Provider Enumeration Date: 06/03/2021
- Last Update Date: 05/31/2024
Medicare PECOS Information:
- PECOS PAC ID: 4789080383
- Enrollment ID: I20210907003528
Medical Identifiers
Medical identifiers for Joanna Rose Williamson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1457927998 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 5014497 (North Carolina) | Secondary |
| 363L00000X | Nurse Practitioner | 5014497 (North Carolina) | 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. Joanna Rose Williamson allows following entities to bill medicare on her behalf.
| Entity Name | Randleman Medical Clinic Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477810265
PECOS PAC ID: 7214199306
Enrollment ID: O20120508000029 |
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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. Joanna Rose Williamson 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 |
|---|
Joanna Rose Williamson, AGNP
670 W Academy St,
Randleman, NC 27317-9748
Ph: (336) 498-8500 | Joanna Rose Williamson, AGNP
670 W Academy St,
Randleman, NC 27317-9748
Ph: (336) 498-8500 |
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