Mr Brennan Williams, CPNP-DUAL in Jackson, MS

Mr Brennan Williams, CPNP-DUAL is a medicare enrolled "Nurse Practitioner - Pediatrics, Critical Care" in Jackson, Mississippi. His current practice location is 2500 N State St, Jackson, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 815-8151.

Mr Brennan Williams is licensed to practice in Mississippi (license number 902321) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1861911372.

Contact Information

	Mr Brennan Williams, CPNP-DUAL
	2500 N State St, Jackson, MS 39216-4500
	(601) 815-8151
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Brennan Williams
Gender	Male
Speciality	Nurse Practitioner - Pediatrics, Critical Care
Location	2500 N State St, Jackson, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861911372
Provider Enumeration Date: 09/15/2017
Last Update Date: 09/20/2017

Medicare PECOS Information:

PECOS PAC ID: 3577839034
Enrollment ID: I20171027001081

Medical Identifiers

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

Identifier	Type	State	Issuer
1861911372	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0222X	Nurse Practitioner - Pediatrics, Critical Care	902321 (Mississippi)	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. Mr Brennan Williams allows following entities to bill medicare on his behalf.

Entity Name	State Of Mississippi - University Of Mississippi Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575

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. Mr Brennan 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
Mr Brennan Williams, CPNP-DUAL 2500 N State St, Jackson, MS 39216-4500 Ph: () -	Mr Brennan Williams, CPNP-DUAL 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 815-8151

Reviews and Comments

Nurse Practitioner Nurses in Jackson, MS

Jennifer Nichols Foreman, A-GNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5657
Susan B Patterson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 Marshall St, Ste 104, Jackson, MS 39202 Phone: 601-969-6404 Fax: 601-973-4541
Caryl P. Sumrall, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6311 Ridgewood Rd, Jackson, MS 39211 Phone: 601-952-8398 Fax: 833-972-5586
Kathryn L. Navarro, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1850 Chadwick Dr, Jackson, MS 39204 Phone: 904-805-1300 Fax: 904-805-1302
Mr. Bradford Steele Martin, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 North State Street, Department Of Orthopedics, Jackson, MS 39216 Phone: 601-815-3045
Emily Brumfield, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 North State Street, Jackson, MS 39216 Phone: 601-984-5500 Fax: 601-984-5503
Mrs. Tiffany Griffin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3450 Highway 80 West, Jackson, MS 39209 Phone: 601-321-2400

Mr Brennan Williams, CPNP-DUAL - Medicare Nurse Practitioner in Jackson, MS