Mrs Jacquelin Michele Williams, FNP-C - Medicare Nurse Practitioner in Salisbury, NC

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Mrs Jacquelin Michele Williams, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Salisbury, North Carolina. Her current practice location is 115 W Liberty St, Salisbury, North Carolina. You can reach out to her office (for appointments etc.) via phone at (980) 230-0902.

Mrs Jacquelin Michele Williams is licensed to practice in North Carolina (license number 189227) 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 1902376296.

Contact Information

Mrs Jacquelin Michele Williams, FNP-C
115 W Liberty St,
Salisbury, NC 28144-4332
(980) 230-0902
Not Available

Map and Direction




Provider's Profile

Full NameMrs Jacquelin Michele Williams
GenderFemale
SpecialityNurse Practitioner - Family
Location115 W Liberty St, Salisbury, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1902376296
  • Provider Enumeration Date: 11/28/2018
  • Last Update Date: 10/26/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1850638354
  • Enrollment ID: I20190122002309

Medical Identifiers

Medical identifiers for Mrs Jacquelin Michele Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902376296NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 189227 (North Carolina)Secondary
363LF0000XNurse Practitioner - Family 5011208 (North Carolina)Secondary
363LF0000XNurse Practitioner - Family 189227 (North Carolina)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 Jacquelin Michele Williams allows following entities to bill medicare on her behalf.
Entity NameCarolina Medicorp Enterprises Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760950646
PECOS PAC ID: 0648174904
Enrollment ID: O20040110000190
Entity NameNovant Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679528384
PECOS PAC ID: 1153234893
Enrollment ID: O20060828000304
Entity NameScrn Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487181897
PECOS PAC ID: 1254695265
Enrollment ID: O20180427000950

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 Jacquelin Michele 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 AddressPractice Location Address
Mrs Jacquelin Michele Williams, FNP-C
4535 Dressler Rd Nw,
Canton, OH 44718-2545

Ph: (800) 828-0898		Mrs Jacquelin Michele Williams, FNP-C
115 W Liberty St,
Salisbury, NC 28144-4332

Ph: (980) 230-0902

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.