Kiyanna Marie Williams, MD in Fort Wayne, IN

Kiyanna Marie Williams, MD is a medicare enrolled "Dermatology" physician in Fort Wayne, Indiana. She graduated from medical school in 2016 and has 9 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Nj Certified Dermatology Pc, Nj Certified Dermatology Pc and her current practice location is 4020 New Vision Dr, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 423-2567.

Kiyanna Marie Williams is licensed to practice in Indiana (license number 01092905A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1487008751.

Contact Information

	Kiyanna Marie Williams, MD
	4020 New Vision Dr, Fort Wayne, IN 46845-1737
	(260) 423-2567
	(260) 420-2415

Map and Direction

Physician's Profile

Full Name	Kiyanna Marie Williams
Gender	Female
Speciality	Dermatology
Experience	9 Years
Location	4020 New Vision Dr, Fort Wayne, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kiyanna Marie Williams graduated from medical school in 2016

NPI Data:

NPI Number: 1487008751
Provider Enumeration Date: 04/22/2016
Last Update Date: 09/10/2024

Medicare PECOS Information:

PECOS PAC ID: 6002102225
Enrollment ID: I20240319002157

Medical Identifiers

Medical identifiers for Kiyanna Marie Williams such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487008751	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ND0101X	Dermatology - Mohs-micrographic Surgery	01092905A (Indiana)	Secondary
207N00000X	Dermatology	01092905A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Nj Certified Dermatology Pc	9931492287	32
Nj Certified Dermatology Pc	9931492287	32

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. Kiyanna Marie Williams allows following entities to bill medicare on her behalf.

Entity Name	Nj Certified Dermatology Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003263807 PECOS PAC ID: 9931492287 Enrollment ID: O20160725000074

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. Kiyanna Marie 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
Kiyanna Marie Williams, MD 801 York St, Manitowoc, WI 54220-4630 Ph: (920) 663-9008	Kiyanna Marie Williams, MD 4020 New Vision Dr, Fort Wayne, IN 46845-1737 Ph: (260) 423-2567

Reviews and Comments

Dermatology Doctors in Fort Wayne, IN

Dr. Jennifer Lynn Hobbs, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5750 Falls Dr, Fort Wayne, IN 46804 Phone: 260-436-8000 Fax: 260-432-5587
Patrick M. Veerkamp, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 7881 Carnegie Blvd, Fort Wayne, IN 46804 Phone: 260-436-8000 Fax: 260-434-0929
Dr. Alan R Gilbert, M. D. Dermatology Medicare: Medicare Enrolled Practice Location: 10620 Corporate Dr Ste A, Fort Wayne, IN 46845 Phone: 260-423-2567 Fax: 260-420-2415
Dr. Diane Marie Hentz, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5750 Falls Dr, Fort Wayne, IN 46804 Phone: 260-436-8000 Fax: 260-432-5587
David A Grekin, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4020 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-423-2567 Fax: 260-420-2415
Ms. Jacquelyn Ray Beemer, PA-C Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5650 Coventry Ln, Fort Wayne, IN 46804 Phone: 260-436-9696
Dr. James Richard Kyler, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 5750 Falls Dr, Fort Wayne, IN 46804 Phone: 260-436-8000 Fax: 260-432-5587

Kiyanna Marie Williams, MD - Medicare Dermatology in Fort Wayne, IN