Mrs Carolyn Mccullagh Williams, PA-C is a medicare enrolled "Physician Assistant" in Port St Joe, Florida. Her current practice location is
3871 E Highway 98 Ste 201, Port St Joe, Florida. You can reach out to her office (for appointments etc.) via phone at
(850) 229-3712.
Mrs Carolyn Mccullagh Williams is licensed to practice in Florida (license number PA 9101182) 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 1750478129.
Provider's Profile
Full Name | Mrs Carolyn Mccullagh Williams |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 3871 E Highway 98 Ste 201, Port St Joe, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1750478129
- Provider Enumeration Date: 10/06/2006
- Last Update Date: 02/15/2019
Medicare PECOS Information:
- PECOS PAC ID: 0941326995
- Enrollment ID: I20100927001292
Medical Identifiers
Medical identifiers for Mrs Carolyn Mccullagh Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750478129 | NPI | - | NPPES |
291229500 | Medicaid | FL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | PA 9101182 (Florida) | Primary |
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 Carolyn Mccullagh 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 Carolyn Mccullagh Williams, PA-C Po Box 2699, Pensacola, FL 32513-2699 Ph: (850) 475-4686 | Mrs Carolyn Mccullagh Williams, PA-C 3871 E Highway 98 Ste 201, Port St Joe, FL 32456 Ph: (850) 229-3712 |
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