Mrs Kellie Sue Williams, NP-C is a medicare enrolled "Nurse Practitioner - Family" physician in Lecanto, Florida. She graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Cardiothoracic And Vascular Surgical Associates Pa and her current practice location is
828 E Savoy St, Lecanto, Florida. You can reach out to her office (for appointments etc.) via phone at
(404) 357-6946.
Mrs Kellie Sue Williams is licensed to practice in Florida (license number APRN11012874) 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 1992006506.
Physician's Profile
Full Name | Mrs Kellie Sue Williams |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 16 Years |
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Location | 828 E Savoy St, Lecanto, Florida |
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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:
- Mrs Kellie Sue Williams graduated from medical school in 2008
NPI Data:
- NPI Number: 1992006506
- Provider Enumeration Date: 11/12/2010
- Last Update Date: 01/23/2023
Medicare PECOS Information:
- PECOS PAC ID: 1759568744
- Enrollment ID: I20210811004517
Medical Identifiers
Medical identifiers for Mrs Kellie Sue Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992006506 | NPI | - | NPPES |
1992006506 | Medicaid | GA | |
XJYGA | Other | FL | BLUE SHIELD |
110883800 | Medicaid | FL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | APRN11012874 (Florida) | Secondary |
363L00000X | Nurse Practitioner | RN094494NP (Georgia) | Secondary |
363LF0000X | Nurse Practitioner - Family | APRN11012874 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Cardiothoracic And Vascular Surgical Associates Pa | 5395725188 | 83 |
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 Kellie Sue Williams allows following entities to bill medicare on her behalf.
Entity Name | Physician Providers Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1720073216 PECOS PAC ID: 9931199940 Enrollment ID: O20040513000180 |
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Entity Name | Cardiothoracic & Vascular Surgical Associates Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1851403125 PECOS PAC ID: 5395725188 Enrollment ID: O20040722000541 |
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Entity Name | Florida Hospital Physician Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174955256 PECOS PAC ID: 2365679057 Enrollment ID: O20131231000600 |
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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 Kellie Sue 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 Kellie Sue Williams, NP-C 305 S Line Ave, Inverness, FL 34452-4605 Ph: (352) 344-4791 | Mrs Kellie Sue Williams, NP-C 828 E Savoy St, Lecanto, FL 34461-8766 Ph: (404) 357-6946 |
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