Kennetha Williams, DNP, APRN, PMHNP-BC in Louisville, KY

Kennetha Williams, DNP, APRN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Louisville, Kentucky. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Seven Counties Services, Inc, Mandala House, Llc and her current practice location is 633 Baxter Ave, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 309-2408.

Kennetha Williams is licensed to practice in Kentucky (license number 3013874) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1366787798.

Contact Information

	Kennetha Williams, DNP, APRN, PMHNP-BC
	633 Baxter Ave, Louisville, KY 40204-1157
	(502) 309-2408
	Not Available

Map and Direction

Provider's Profile

Full Name	Kennetha Williams
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	633 Baxter Ave, Louisville, Kentucky
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kennetha Williams graduated from nursing school in 2019

NPI Data:

NPI Number: 1366787798
Provider Enumeration Date: 12/12/2012
Last Update Date: 03/01/2024

Medicare PECOS Information:

PECOS PAC ID: 8123451473
Enrollment ID: I20191127001911

Medical Identifiers

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

Identifier	Type	State	Issuer
1366787798	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	3013874 (Kentucky)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Seven Counties Services, Inc	1759294424	63
Mandala House, Llc	4789957135	9

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. Kennetha Williams allows following entities to bill medicare on her behalf.

Entity Name	Seven Counties Services, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598793671 PECOS PAC ID: 1759294424 Enrollment ID: O20031110000034

Entity Name	Mandala House, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659829760 PECOS PAC ID: 4789957135 Enrollment ID: O20170906002088

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. Kennetha 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
Kennetha Williams, DNP, APRN, PMHNP-BC 633 Baxter Ave, Louisville, KY 40204-1157 Ph: (502) 309-2408	Kennetha Williams, DNP, APRN, PMHNP-BC 633 Baxter Ave, Louisville, KY 40204-1157 Ph: (502) 309-2408

Reviews and Comments

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Kennetha Williams, DNP, APRN, PMHNP-BC - Medicare Nurse Practitioner in Louisville, KY