Courtney Williams, RN is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Provo, Utah. Her current practice location is
1034 N 500 W, Provo, Utah. You can reach out to her office (for appointments etc.) via phone at
(801) 357-7414.
Courtney Williams is licensed to practice in Utah (license number ) 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 1811608847.
Provider's Profile
Full Name | Courtney Williams |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1034 N 500 W, Provo, Utah |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1811608847
- Provider Enumeration Date: 12/12/2022
- Last Update Date: 12/12/2022
Medicare PECOS Information:
- PECOS PAC ID: 5395196158
- Enrollment ID: I20240105003806
Medical Identifiers
Medical identifiers for Courtney Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811608847 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WN0002X | Registered Nurse - Neonatal Intensive Care | 6943363-3102 (Utah) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (Utah) | 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. Courtney Williams allows following entities to bill medicare on her behalf.
Entity Name | Ihc Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
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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. Courtney 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 |
Courtney Williams, RN 374 N 1380 E, Pleasant Grove, UT 84062-4112 Ph: (801) 839-4369 | Courtney Williams, RN 1034 N 500 W, Provo, UT 84604-3380 Ph: (801) 357-7414 |
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