Laquania Williams, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Primary Care" in Vardaman, Mississippi. Her current practice location is
470 County Road 471, Vardaman, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(662) 628-0621.
Laquania Williams is licensed to practice in California (license number 95008190) 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 1063912046.
Provider's Profile
| Full Name | Laquania Williams |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Primary Care |
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| Location | 470 County Road 471, Vardaman, Mississippi |
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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: 1063912046
- Provider Enumeration Date: 02/16/2018
- Last Update Date: 02/16/2018
Medicare PECOS Information:
- PECOS PAC ID: 1850733247
- Enrollment ID: I20240530003505
Medical Identifiers
Medical identifiers for Laquania Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1063912046 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP2300X | Nurse Practitioner - Primary Care | 901863 (Mississippi) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | 95008190 (California) | 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. Laquania Williams allows following entities to bill medicare on her behalf.
| Entity Name | Boa Vida Hospital Of Aberdeen Ms Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710405741
PECOS PAC ID: 0244505840
Enrollment ID: O20171128003460 |
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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. Laquania 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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Laquania Williams, NURSE PRACTITIONER
470 County Road 471,
Vardaman, MS 38878-9770
Ph: () - | Laquania Williams, NURSE PRACTITIONER
470 County Road 471,
Vardaman, MS 38878-9770
Ph: (662) 628-0621 |
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