Mrs Carol Lynn Williams, RN, MSN-FNP in Oakland, CA

Mrs Carol Lynn Williams, RN, MSN-FNP is a medicare enrolled "Nurse Practitioner - Family" in Oakland, California. Her current practice location is 1144 65th St Ste F, Oakland, California. You can reach out to her office (for appointments etc.) via phone at (510) 929-1400.

Mrs Carol Lynn Williams is licensed to practice in California (license number 95002798) 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 1063783066.

Contact Information

	Mrs Carol Lynn Williams, RN, MSN-FNP
	1144 65th St Ste F, Oakland, CA 94608-1053
	(510) 929-1400
	(510) 929-1414

Map and Direction

Provider's Profile

Full Name	Mrs Carol Lynn Williams
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1144 65th St Ste F, Oakland, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063783066
Provider Enumeration Date: 01/23/2012
Last Update Date: 11/10/2023

Medicare PECOS Information:

PECOS PAC ID: 1759681679
Enrollment ID: I20151125001987

Medical Identifiers

Medical identifiers for Mrs Carol Lynn Williams such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063783066	NPI	-	NPPES
95002798	Other	CA	BRN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	784478 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	95002798 (California)	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. Mrs Carol Lynn Williams allows following entities to bill medicare on her behalf.

Entity Name	Pine Park Health, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346879848 PECOS PAC ID: 0345670527 Enrollment ID: O20200501001068

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. Mrs Carol Lynn 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
Mrs Carol Lynn Williams, RN, MSN-FNP Po Box 511250, Los Angeles, CA 90051-7805 Ph: (510) 929-1400	Mrs Carol Lynn Williams, RN, MSN-FNP 1144 65th St Ste F, Oakland, CA 94608-1053 Ph: (510) 929-1400

Reviews and Comments

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Mrs Carol Lynn Williams, RN, MSN-FNP - Medicare Nurse Practitioner in Oakland, CA