Derrick Lane Williams, RN, APRN, ACNP in Fort Wayne, IN

Derrick Lane Williams, RN, APRN, ACNP is a medicare enrolled "Nurse Practitioner" in Fort Wayne, Indiana. He graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Marion General Hospital and his current practice location is 7950 W Jefferson Blvd, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 203-9600.

Derrick Lane Williams is licensed to practice in Indiana (license number 71003104A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1922333194.

Contact Information

	Derrick Lane Williams, RN, APRN, ACNP
	7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140
	(260) 203-9600
	(260) 739-6167

Map and Direction

Provider's Profile

Full Name	Derrick Lane Williams
Gender	Male
Speciality	Nurse Practitioner
Experience	15 Years
Location	7950 W Jefferson Blvd, Fort Wayne, Indiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Derrick Lane Williams graduated from nursing school in 2009

NPI Data:

NPI Number: 1922333194
Provider Enumeration Date: 10/06/2009
Last Update Date: 09/02/2014

Medicare PECOS Information:

PECOS PAC ID: 2365584661
Enrollment ID: I20100126000006

Medical Identifiers

Medical identifiers for Derrick Lane Williams such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922333194	NPI	-	NPPES
200972030	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	28139511A (Indiana)	Secondary
363L00000X	Nurse Practitioner	71003104A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Marion General Hospital	Marion, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Marion General Hospital	9133023625	91

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. Derrick Lane Williams allows following entities to bill medicare on his behalf.

Entity Name	Marion General Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528099041 PECOS PAC ID: 9133023625 Enrollment ID: O20040524001483

Entity Name	Nes Of Sandusky Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972978583 PECOS PAC ID: 8022311729 Enrollment ID: O20160128002524

Entity Name	App Of Indiana Ed, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740822212 PECOS PAC ID: 2961835400 Enrollment ID: O20191213001639

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. Derrick Lane 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
Derrick Lane Williams, RN, APRN, ACNP 10351 Dawsons Creek Blvd, Suite A-1, Fort Wayne, IN 46825-1904 Ph: (260) 203-9600	Derrick Lane Williams, RN, APRN, ACNP 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 Ph: (260) 203-9600

Reviews and Comments

Nurse Practitioner Nurses in Fort Wayne, IN

Carrie Jean Boots, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 108, Fort Wayne, IN 46804 Phone: 260-484-8830 Fax: 260-483-1911
Mrs. Jamie Lynn Peppler, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5910 Homestead Rd, Fort Wayne, IN 46814 Phone: 260-435-3272 Fax: 260-435-3275
Stephanie Ann Clouse, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 120, Fort Wayne, IN 46804 Phone: 260-435-7612 Fax: 260-435-7672
Cathy S Walker, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1234 E. Dupont Rd., Suite 6, Fort Wayne, IN 46825 Phone: 260-480-2600 Fax: 260-496-8077
Amber N Gullion, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3512 Stellhorn Rd, Fort Wayne, IN 46815 Phone: 260-483-9081 Fax: 260-483-9196
Cara E Walker, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11123 Parkview Plaza Dr, Suite 101, Fort Wayne, IN 46845 Phone: 260-422-7455
Kara Yackee, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3909 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-469-6610 Fax: 260-969-3065

Derrick Lane Williams, RN, APRN, ACNP - Medicare Nurse Practitioner in Fort Wayne, IN