Blake Mccullough Williams, FNP - Medicare Nurse Practitioner in Deridder, LA

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Blake Mccullough Williams, FNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Deridder, Louisiana. Her current practice location is 1017 N Pine St, Deridder, Louisiana. You can reach out to her office (for appointments etc.) via phone at (337) 202-4101.

Blake Mccullough Williams is licensed to practice in Louisiana (license number 214331) 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 1396363438.

Contact Information

Blake Mccullough Williams, FNP
1017 N Pine St,
Deridder, LA 70634-2817
(337) 202-4101
Not Available

Map and Direction




Provider's Profile

Full NameBlake Mccullough Williams
GenderFemale
SpecialityNurse Practitioner - Primary Care
Location1017 N Pine St, Deridder, Louisiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1396363438
  • Provider Enumeration Date: 07/06/2020
  • Last Update Date: 07/06/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1759707631
  • Enrollment ID: I20200824000482

Medical Identifiers

Medical identifiers for Blake Mccullough Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396363438NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP2300XNurse Practitioner - Primary Care 214331 (Louisiana)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. Blake Mccullough Williams allows following entities to bill medicare on her behalf.
Entity NameCalcasieu Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467715490
PECOS PAC ID: 5496908071
Enrollment ID: O20130109000768
Entity NameClhg-oakdale Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063111920
PECOS PAC ID: 1355623943
Enrollment ID: O20181116002285
Entity NameBrighton Bridge Hospice Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629007794
PECOS PAC ID: 6305874447
Enrollment ID: O20210312001231

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. Blake Mccullough 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 AddressPractice Location Address
Blake Mccullough Williams, FNP
335 Carter Rd,
Dry Creek, LA 70637-5029

Ph: (318) 308-4063		Blake Mccullough Williams, FNP
1017 N Pine St,
Deridder, LA 70634-2817

Ph: (337) 202-4101

Reviews and Comments


Nurse Practitioner Nurses in Deridder, LA

Ms. Christina Miller, FNP-C
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 501 S Pine St, Deridder, LA 70634
Phone: 337-463-9890    Fax: 337-462-9521
Sharolyn Rose Chitty, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 206 W 5th St, Deridder, LA 70634
Phone: 337-463-5582    
Christine Hoffpauir, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 206 W 5th St, Deridder, LA 70634
Phone: 337-462-7160    
Anna Reuber,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 600 S Pine St, Deridder, LA 70634
Phone: 337-462-7100    
Mrs. Michelle W Adams, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1017 N Pine St, Deridder, LA 70634
Phone: 337-202-4101    Fax: 337-202-4052
Jennifer Dianne Midgett, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2581 Highway 190 W, Deridder, LA 70634
Phone: 337-221-3075    Fax: 337-221-3076
Kaylyn Ann Cooley,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 495 W 8th St, Deridder, LA 70634
Phone: 337-462-2262    Fax: 337-462-2295

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.