Lisa Renee Williams, AGACNP-BC is a medicare enrolled "Nurse Practitioner" physician in Dallas, Texas. Her current practice location is
6202 Harry Hines Blvd, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at
(214) 645-4673.
Lisa Renee Williams is licensed to practice in Texas (license number 1099132) 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 1336833441.
Physician's Profile
| Full Name | Lisa Renee Williams |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 6202 Harry Hines Blvd, Dallas, Texas |
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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: 1336833441
- Provider Enumeration Date: 06/05/2023
- Last Update Date: 07/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 3072956994
- Enrollment ID: I20240208000201
Medical Identifiers
Medical identifiers for Lisa Renee Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1336833441 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RH0000X | Internal Medicine - Hematology | 1099132 (Texas) | Secondary |
| 363L00000X | Nurse Practitioner | 1099132 (Texas) | 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. Lisa Renee Williams allows following entities to bill medicare on her behalf.
| Entity Name | University Of Texas Southwestern Medical Center At Dallas |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972579365
PECOS PAC ID: 0648188250
Enrollment ID: O20031106000792 |
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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. Lisa Renee 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 |
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Lisa Renee Williams, AGACNP-BC
11586 Gatesville Dr,
Frisco, TX 75035-9144
Ph: (214) 457-4911 | Lisa Renee Williams, AGACNP-BC
6202 Harry Hines Blvd,
Dallas, TX 75235-5303
Ph: (214) 645-4673 |
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