Jacqueline Williams, NP in Columbia, MD - Medicare Nurse Practitioner

Jacqueline Williams, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Columbia, Maryland. Her current practice location is 5457 Twin Knolls Rd Ste 1048, Columbia, Maryland. You can reach out to her office (for appointments etc.) via phone at (104) 247-2624.

Jacqueline Williams is licensed to practice in Maryland (license number R210252) 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 1588270458.

Contact Information

	Jacqueline Williams, NP
	5457 Twin Knolls Rd Ste 1048, Columbia, MD 21045-3259
	(104) 247-2624
	(855) 733-0059

Map and Direction

Provider's Profile

Full Name	Jacqueline Williams
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	5457 Twin Knolls Rd Ste 1048, Columbia, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588270458
Provider Enumeration Date: 09/16/2020
Last Update Date: 06/16/2023

Medicare PECOS Information:

PECOS PAC ID: 0345654877
Enrollment ID: I20210125002385

Medical Identifiers

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

Identifier	Type	State	Issuer
1588270458	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R210252 (Maryland)	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. Jacqueline Williams allows following entities to bill medicare on her behalf.

Entity Name	Supportive Care Of Maryland Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447802616 PECOS PAC ID: 9234460999 Enrollment ID: O20191107000137

Entity Name	Thrive Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20200924001878

Entity Name	Mental Health First Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164018842 PECOS PAC ID: 7315395050 Enrollment ID: O20231120000285

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. Jacqueline 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
Jacqueline Williams, NP 5457 Twin Knolls Road, Suite 300 #1048, Columbia, MD 21045-3259 Ph: (410) 424-7262	Jacqueline Williams, NP 5457 Twin Knolls Rd Ste 1048, Columbia, MD 21045-3259 Ph: (104) 247-2624

Reviews and Comments

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Jacqueline Williams, NP - Medicare Nurse Practitioner in Columbia, MD