Mr Roderickus Williams, NP in Shreveport, LA - Medicare Nurse Practitioner

Mr Roderickus Williams, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Shreveport, Louisiana. His current practice location is 8930 Bayonne Dr, Shreveport, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 455-2898.

Mr Roderickus Williams is licensed to practice in Louisiana (license number 221798) 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 1679965610.

Contact Information

	Mr Roderickus Williams, NP
	8930 Bayonne Dr, Shreveport, LA 71118-2033
	(318) 455-2898
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Roderickus Williams
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	8930 Bayonne Dr, Shreveport, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679965610
Provider Enumeration Date: 02/27/2015
Last Update Date: 08/14/2021

Medicare PECOS Information:

PECOS PAC ID: 4284009051
Enrollment ID: I20230408000015

Medical Identifiers

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

Identifier	Type	State	Issuer
1679965610	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	146918 (Louisiana)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	221798 (Louisiana)	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 Roderickus Williams allows following entities to bill medicare on his behalf.

Entity Name	Brentwood Acquisition-shreveport Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164725701 PECOS PAC ID: 1951379312 Enrollment ID: O20040923000015

Entity Name	Elite Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710755798 PECOS PAC ID: 7810337409 Enrollment ID: O20240430001531

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 Roderickus 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 Roderickus Williams, NP 9542 Lucien Way, Shreveport, LA 71106-3432 Ph: (318) 455-2898	Mr Roderickus Williams, NP 8930 Bayonne Dr, Shreveport, LA 71118-2033 Ph: (318) 455-2898

Reviews and Comments

Nurse Practitioner Nurses in Shreveport, LA

Lasonya Jones, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7840 Jewella Ave, Shreveport, LA 71108 Phone: 318-401-1432 Fax: 318-562-3889
James E Harper, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1500 Line Avenue, Ste 200, Shreveport, LA 71101 Phone: 318-629-5555 Fax: 318-629-5556
Tamara J Trainer, RN, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1525 Fairfield Room 551, Dhh-office Of Public Health, Shreveport, LA 71101 Phone: 318-676-7470
Ms. Shannon Renee Gully, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 318-221-8411
Alana O Bragg, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Department Of Ob/gyn, Shreveport, LA 71103 Phone: 318-675-5379 Fax: 318-675-4671
Pamela B. Simmons, PHD, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 865 Olive St, Shreveport, LA 71104 Phone: 318-470-6194
Barbara Lynn Bruner, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000

Mr Roderickus Williams, NP - Medicare Nurse Practitioner in Shreveport, LA