Kendall Williams, in Holly Springs, GA - Medicare Nurse Practitioner

Kendall Williams, is a medicare enrolled "Nurse Practitioner - Family" in Holly Springs, Georgia. Her current practice location is 684 Sixes Rd Ste 105, Holly Springs, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 388-5170.

Kendall Williams is licensed to practice in Georgia (license number RN289514) 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 1720846652.

Contact Information

	Kendall Williams,
	684 Sixes Rd Ste 105, Holly Springs, GA 30115-8720
	(678) 388-5170
	Not Available

Map and Direction

Provider's Profile

Full Name	Kendall Williams
Gender	Female
Speciality	Nurse Practitioner - Family
Location	684 Sixes Rd Ste 105, Holly Springs, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720846652
Provider Enumeration Date: 03/06/2024
Last Update Date: 03/06/2024

Medicare PECOS Information:

PECOS PAC ID: 7315386711
Enrollment ID: I20240418000859

Medical Identifiers

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

Identifier	Type	State	Issuer
1720846652	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN289514 (Georgia)	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. Kendall Williams allows following entities to bill medicare on her behalf.

Entity Name	Northside Primary Care Professional Services,llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922397553 PECOS PAC ID: 9638343924 Enrollment ID: O20111123000206

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. Kendall 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
Kendall Williams, 406 Sugar Maple Ct, Canton, GA 30114-7182 Ph: () -	Kendall Williams, 684 Sixes Rd Ste 105, Holly Springs, GA 30115-8720 Ph: (678) 388-5170

Reviews and Comments

Nurse Practitioner Nurses in Holly Springs, GA

Mary Blalock, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 107 Lake Reserve Way, Holly Springs, GA 30115 Phone: 770-354-0471
Mindy Lynn Holcomb, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1120 Wellstar Way Ste 201, Holly Springs, GA 30114 Phone: 470-267-0152
Tiffany Styles, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 684 Sixes Rd Ste 125, Holly Springs, GA 30115 Phone: 678-426-5450 Fax: 404-575-2001
Stacey Collene Cox, N.P.-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 684 Sixes Rd Ste 265, Holly Springs, GA 30115 Phone: 770-720-2221 Fax: 770-720-2282
Bethany Ellen Kinsey, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1120 Wellstar Way Ste 204, Holly Springs, GA 30114 Phone: 470-267-0135 Fax: 770-999-2631
Sherene Good, RN, CDE Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 684 Sixes Rd Ste 265, Holly Springs, GA 30115 Phone: 770-720-2221 Fax: 770-720-2282
Mrs. Hannah Van Weele, APRN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 684 Sixes Rd Ste 130, Holly Springs, GA 30115 Phone: 678-388-5485 Fax: 678-388-5489

Kendall Williams, - Medicare Nurse Practitioner in Holly Springs, GA