Fontaine Williams, - Medicare Nurse Practitioner in Centerville, OH

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Fontaine Williams, is a medicare enrolled "Nurse Practitioner - Gerontology" in Centerville, Ohio. Her current practice location is 2350 Miami Valley Dr Ste 500, Centerville, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 293-1622.

Fontaine Williams is licensed to practice in Ohio (license number APRN.CNP.17004) 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 1467857896.

Contact Information

Fontaine Williams,
2350 Miami Valley Dr Ste 500,
Centerville, OH 45459-4780
(937) 293-1622
(937) 245-6308

Map and Direction




Provider's Profile

Full NameFontaine Williams
GenderFemale
SpecialityNurse Practitioner - Gerontology
Location2350 Miami Valley Dr Ste 500, Centerville, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1467857896
  • Provider Enumeration Date: 10/28/2014
  • Last Update Date: 12/31/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 9739462946
  • Enrollment ID: I20170214002079

Medical Identifiers

Medical identifiers for Fontaine Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467857896NPI-NPPES
0203376MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LG0600XNurse Practitioner - Gerontology APRN.CNP.17004 (Ohio)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. Fontaine Williams allows following entities to bill medicare on her behalf.
Entity NamePremier Health Specialists Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194958223
PECOS PAC ID: 5597708594
Enrollment ID: O20050610000010
Entity NameDayton Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902844947
PECOS PAC ID: 1456374859
Enrollment ID: O20060112000005
Entity NameCleanslate Medical Group Of Ohio Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558800193
PECOS PAC ID: 9537418025
Enrollment ID: O20190108003833

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. Fontaine 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
Fontaine Williams,
6680 Poe Ave Ste 200,
Dayton, OH 45414-2855

Ph: (937) 293-1622		Fontaine Williams,
2350 Miami Valley Dr Ste 500,
Centerville, OH 45459-4780

Ph: (937) 293-1622

Reviews and Comments


Nurse Practitioner Nurses in Centerville, OH

Brittany Renee Montgomery, CNP
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Mr. Benjamin Daniel Malcolm, FNP
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Heather Davis, NP
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Eric Harris, FNP
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Terri M Caputo-jones, CRNP
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Alysha Weeter,
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Marie Middleton, NP-C
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Phone: 937-439-7411    Fax: 937-433-8030

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.