Mrs Amber Dickerson Williams, FNP-C is a medicare enrolled "Nurse Practitioner - Family" physician in Windsor, North Carolina. She graduated from medical school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Roanoke Chowan Community Health Center Inc, Coastal Rehabilitation Inc and her current practice location is
119 E Granville St, Windsor, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(252) 484-4410.
Mrs Amber Dickerson Williams is licensed to practice in North Carolina (license number 5014191) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1780262311.
Physician's Profile
| Full Name | Mrs Amber Dickerson Williams |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 4 Years |
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| Location | 119 E Granville St, Windsor, North Carolina |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Amber Dickerson Williams graduated from medical school in 2020
NPI Data:
- NPI Number: 1780262311
- Provider Enumeration Date: 04/02/2021
- Last Update Date: 07/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 1456746627
- Enrollment ID: I20220325000376
Medical Identifiers
Medical identifiers for Mrs Amber Dickerson Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780262311 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 5014191 (North Carolina) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | 5014191 (North Carolina) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 5014191 (North Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Roanoke Chowan Community Health Center Inc | 7214983386 | 31 |
| Coastal Rehabilitation Inc | 9537071535 | 101 |
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. Mrs Amber Dickerson Williams allows following entities to bill medicare on her behalf.
| Entity Name | Roanoke Chowan Community Health Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790851004
PECOS PAC ID: 7214983386
Enrollment ID: O20050428001071 |
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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. Mrs Amber Dickerson 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 |
|---|
Mrs Amber Dickerson Williams, FNP-C
4110 Brown Rd,
Jamesville, NC 27846-9530
Ph: (252) 789-4848 | Mrs Amber Dickerson Williams, FNP-C
119 E Granville St,
Windsor, NC 27983-1230
Ph: (252) 484-4410 |
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