Leslie Simone Williams, APN is a medicare enrolled "Nurse Practitioner - Family" in Dolton, Illinois. Her current practice location is
14308 Minerva Ave, Dolton, Illinois. You can reach out to her office (for appointments etc.) via phone at
(708) 953-5192.
Leslie Simone Williams is licensed to practice in Illinois (license number 209013451) 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 1487026134.
Provider's Profile
| Full Name | Leslie Simone Williams |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 14308 Minerva Ave, Dolton, Illinois |
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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: 1487026134
- Provider Enumeration Date: 10/21/2015
- Last Update Date: 10/21/2015
Medicare PECOS Information:
- PECOS PAC ID: 9931419231
- Enrollment ID: I20151116002021
Medical Identifiers
Medical identifiers for Leslie Simone Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1487026134 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 209013451 (Illinois) | 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. Leslie Simone Williams allows following entities to bill medicare on her behalf.
| Entity Name | Signify Health Medical Associates Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20190507001451 |
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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. Leslie Simone 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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Leslie Simone Williams, APN
14308 Minerva Ave,
Dolton, IL 60419-1343
Ph: (708) 953-5192 | Leslie Simone Williams, APN
14308 Minerva Ave,
Dolton, IL 60419-1343
Ph: (708) 953-5192 |
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