Kendra Williams, DNP, FNP-C, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Midvale, Utah. Her current practice location is
7535 S Union Park Ave, Midvale, Utah. You can reach out to her office (for appointments etc.) via phone at
(801) 391-8432.
Kendra Williams is licensed to practice in Utah (license number 371423-4406) 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 1568768430.
Provider's Profile
| Full Name | Kendra Williams |
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| Gender | Female |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 7535 S Union Park Ave, Midvale, Utah |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1568768430
- Provider Enumeration Date: 02/09/2011
- Last Update Date: 02/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 2961687033
- Enrollment ID: I20111006000458
Medical Identifiers
Medical identifiers for Kendra Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1568768430 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 371423-4405 (Utah) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 371423-4406 (Utah) | 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. Kendra Williams allows following entities to bill medicare on her behalf.
| Entity Name | Rocky Mountain Anesthesiology Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487683215
PECOS PAC ID: 6305809492
Enrollment ID: O20041109001170 |
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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. Kendra 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 |
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Kendra Williams, DNP, FNP-C, CRNA
1045 E 5950 S,
South Ogden, UT 84405-4892
Ph: () - | Kendra Williams, DNP, FNP-C, CRNA
7535 S Union Park Ave,
Midvale, UT 84047-3043
Ph: (801) 391-8432 |
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