Jesse Williams, NURSE PRACTITIONER - Medicare Nurse Practitioner in Greenville, MS

Jesse Williams, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Greenville, Mississippi. He graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice St. Dominic Medical Associates Llc, Yazoo Emergency Group, Llc and his current practice location is 1400 E Union St, Greenville, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 299-2597.

Jesse Williams is licensed to practice in Mississippi (license number 882991) 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 1477923241.

Contact Information

Jesse Williams, NURSE PRACTITIONER
1400 E Union St,
Greenville, MS 38703-3246
(662) 299-2597
Not Available

Map and Direction




Provider's Profile

Full NameJesse Williams
GenderMale
SpecialityNurse Practitioner
Experience9 Years
Location1400 E Union St, Greenville, Mississippi
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jesse Williams graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1477923241
  • Provider Enumeration Date: 10/05/2015
  • Last Update Date: 03/02/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 8628375565
  • Enrollment ID: I20160321001995

Medical Identifiers

Medical identifiers for Jesse Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477923241NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 882991 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Dominic-jackson Memorial HospitalJackson, MSHospital
Baptist Medical Center-yazooYazoo city, MSHospital
King's Daughters Medical Center-brookhavenBrookhaven, MSHospital
Mississippi Baptist Medical CenterJackson, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St. Dominic Medical Associates Llc0446303168156
Yazoo Emergency Group, Llc074951157416

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. Jesse Williams allows following entities to bill medicare on his behalf.
Entity NameDelta Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790701134
PECOS PAC ID: 6608775531
Enrollment ID: O20040108000636
Entity NameGreenwood Leflore Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720048440
PECOS PAC ID: 8123096880
Enrollment ID: O20040921000072
Entity NameGreenwood Leflore Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699714717
PECOS PAC ID: 1153399472
Enrollment ID: O20040923000500
Entity NameSt. Dominic Medical Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407920549
PECOS PAC ID: 0446303168
Enrollment ID: O20090728000821
Entity NameMississippi Physicians Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902174832
PECOS PAC ID: 7113193855
Enrollment ID: O20111230000560
Entity NameMaxem Health Urgent Care Flowood
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174070650
PECOS PAC ID: 9335429422
Enrollment ID: O20161207000648
Entity NameSt. Dominic Hospital Medicine Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104362292
PECOS PAC ID: 5597034348
Enrollment ID: O20170711000091
Entity NameApp Of Mississippi Ed Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730687740
PECOS PAC ID: 3971865858
Enrollment ID: O20180313002534
Entity NameYazoo Emergency Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447806914
PECOS PAC ID: 0749511574
Enrollment ID: O20191009002380

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. Jesse 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
Jesse Williams, NURSE PRACTITIONER
Po Box 4739,
Greenville, MS 38704-4739

Ph: (662) 725-2749
Jesse Williams, NURSE PRACTITIONER
1400 E Union St,
Greenville, MS 38703-3246

Ph: (662) 299-2597

Reviews and Comments


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James A Ray, APRN
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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.

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