Mr Roderick Jerome Williams, PMHNP in Longview, WA

Mr Roderick Jerome Williams, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Longview, Washington. He graduated from nursing school in 2017 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Clarity-james Medical Services Corp and his current practice location is 600 Broadway St, Longview, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 414-2236.

Mr Roderick Jerome Williams is licensed to practice in Washington (license number AP60853251) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1861917882.

Contact Information

	Mr Roderick Jerome Williams, PMHNP
	600 Broadway St, Longview, WA 98632-3256
	(360) 414-2236
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Roderick Jerome Williams
Gender	Male
Speciality	Nurse Practitioner
Experience	8 Years
Location	600 Broadway St, Longview, Washington
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Roderick Jerome Williams graduated from nursing school in 2017

NPI Data:

NPI Number: 1861917882
Provider Enumeration Date: 08/10/2017
Last Update Date: 10/20/2018

Medicare PECOS Information:

PECOS PAC ID: 0941575484
Enrollment ID: I20211228002061

Medical Identifiers

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

Identifier	Type	State	Issuer
1861917882	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R44293 (North Dakota)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP60853251 (Washington)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Clarity-james Medical Services Corp	2668886813	5

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 Roderick Jerome Williams allows following entities to bill medicare on his behalf.

Entity Name	Clarity-james Medical Services Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972192953 PECOS PAC ID: 2668886813 Enrollment ID: O20210128002631

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 Roderick Jerome 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 Roderick Jerome Williams, PMHNP 3230 Seter Pkwy S Apt 201, Fargo, ND 58104-7822 Ph: (601) 335-5988	Mr Roderick Jerome Williams, PMHNP 600 Broadway St, Longview, WA 98632-3256 Ph: (360) 414-2236

Reviews and Comments

Nurse Practitioner Nurses in Longview, WA

Lori Davis Ryan, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1044 11th Ave, Longview, WA 98632 Phone: 360-575-8275 Fax: 360-575-1950
Dr. Steven Robert Spence Jr., DNP, ARNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-816-5706 Fax: 360-696-5038
Nichol Suzanne Halverson, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 625 9th Ave Ste 210, Longview, WA 98632 Phone: 360-501-3400 Fax: 360-423-6862
Holly Wells, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2385 Fax: 360-414-2386
Ms. Jan Carlin Khouri, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 784 14th Ave, Longview, WA 98632 Phone: 360-703-6400
Donna K Lynds, ARNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2000
Mr. David Jude Paris, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 921 14th Ave, Longview, WA 98632 Phone: 360-423-0203 Fax: 360-423-5086

Mr Roderick Jerome Williams, PMHNP - Medicare Nurse Practitioner in Longview, WA