| Derek Lee Scott Williams, APRN | |
|
3233 E Sunshine St Ste 100, Springfield, MO 65804-2106 | |
| (417) 812-8149 | |
| Not Available |
| Full Name | Derek Lee Scott Williams |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 3233 E Sunshine St Ste 100, Springfield, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043896301 | NPI | - | NPPES |
| 1487001517 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2021013081 (Missouri) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Southern Missouri Ambulatory Services Llc | 5193089621 | 35 |
| Entity Name | Mercy Southern Missouri Ambulatory Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871094052 PECOS PAC ID: 5193089621 Enrollment ID: O20180508002317 |
| Mailing Address | Practice Location Address |
|---|---|
| Derek Lee Scott Williams, APRN 3233 E Sunshine St Ste 100, Springfield, MO 65804-2106 Ph: (417) 812-8149 | Derek Lee Scott Williams, APRN 3233 E Sunshine St Ste 100, Springfield, MO 65804-2106 Ph: (417) 812-8149 |
Ven Thi Lam, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2828 N National Ave, Springfield, MO 65803 Phone: 417-837-4000 Fax: 417-875-4720 | |
Mrs. Erin Elizabeth Duvall, APRN, FNP-C, PMHNP-B Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1901 E Bennett - B, Springfield, MO 65804 Phone: 417-619-4129 | |
Michelle Spencer, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2750 S Campbell Ave, Springfield, MO 65807 Phone: 417-269-2281 Fax: 417-269-2292 | |
Mrs. Cassondra Dawn Simmoneau, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3800 S National Ave Ste 510, Springfield, MO 65807 Phone: 417-875-3000 | |
Beverly Jo Gann, RNC,WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2828 N National Ave, Doctors Hospital Of Springfield, Specialty Clinic, Springfield, MO 65803 Phone: 417-837-4000 Fax: 417-875-4724 | |
Ms. Jennifer L. Passanise, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1965 S Fremont Ave, Springfield, MO 65804 Phone: 417-820-5150 Fax: 417-820-5155 | |
Sally R Schafer, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1423 N Jefferson Ave, Springfield, MO 65802 Phone: 417-269-4636 Fax: 417-269-7036 |