Modupe O Williams, NP-BC in North Providence, RI

Modupe O Williams, NP-BC is a medicare enrolled "Nurse Practitioner - Family" in North Providence, Rhode Island. Her current practice location is 1 Kristen Dr, North Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 447-8569.

Modupe O Williams is licensed to practice in Massachusetts (license number RN2319054) 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 1265943724.

Contact Information

	Modupe O Williams, NP-BC
	1 Kristen Dr, North Providence, RI 02911-2932
	(401) 447-8569
	Not Available

Map and Direction

Provider's Profile

Full Name	Modupe O Williams
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1 Kristen Dr, North Providence, Rhode Island
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265943724
Provider Enumeration Date: 10/23/2017
Last Update Date: 10/23/2017

Medicare PECOS Information:

PECOS PAC ID: 5597025882
Enrollment ID: I20180206001216

Medical Identifiers

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

Identifier	Type	State	Issuer
1265943724	NPI	-	NPPES
12345676289	Medicaid	MA
12345676289	Medicaid	RI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN2319054 (Massachusetts)	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. Modupe O Williams allows following entities to bill medicare on her behalf.

Entity Name	Gps Physician Group, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881109452 PECOS PAC ID: 9739447400 Enrollment ID: O20180205002040

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. Modupe O 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
Modupe O Williams, NP-BC 1 Kristen Dr, North Providence, RI 02911-2932 Ph: () -	Modupe O Williams, NP-BC 1 Kristen Dr, North Providence, RI 02911-2932 Ph: (401) 447-8569

Reviews and Comments

Nurse Practitioner Nurses in North Providence, RI

Constance Marie Ducharme, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 966 Mineral Spring Ave, North Providence, RI 02904 Phone: 401-475-3063 Fax: 401-475-0593
Eucharia U Ibeh, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 468 Smithfield Rd Ste B, North Providence, RI 02904 Phone: 140-525-8202 Fax: 308-888-6638
Dally Bucci, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 High Service Ave, North Providence, RI 02904 Phone: 401-456-3000
Roshani Shrestha, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1630 Mineral Spring Ave, North Providence, RI 02904 Phone: 401-353-7330
Keith L Chamberland, APRN ACNP-AG Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 High Service Ave, North Providence, RI 02904 Phone: 401-456-3000
Lissa Pierre, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1630 Mineral Spring Ave Ste 2, North Providence, RI 02904 Phone: 401-438-1010

Modupe O Williams, NP-BC - Medicare Nurse Practitioner in North Providence, RI