Dekorsha Keyera Williams, APRN-FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Elloree, South Carolina. Her current practice location is
1013 Harlin Street, Elloree, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(803) 928-0126.
Dekorsha Keyera Williams is licensed to practice in South Carolina (license number 2023194228) 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 1023875218.
Provider's Profile
| Full Name | Dekorsha Keyera Williams |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1013 Harlin Street, Elloree, South Carolina |
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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: 1023875218
- Provider Enumeration Date: 03/04/2024
- Last Update Date: 03/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 6002342474
- Enrollment ID: I20241209002060
Medical Identifiers
Medical identifiers for Dekorsha Keyera Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1023875218 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 2023194228 (South Carolina) | 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. Dekorsha Keyera Williams allows following entities to bill medicare on her behalf.
| Entity Name | Signify Health Medical Associates Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20191001003503 |
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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. Dekorsha Keyera 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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Dekorsha Keyera Williams, APRN-FNP-BC
Po Box 364,
Elloree, SC 29047-0364
Ph: (803) 928-0126 | Dekorsha Keyera Williams, APRN-FNP-BC
1013 Harlin Street,
Elloree, SC 29047
Ph: (803) 928-0126 |
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