Mrs Jaqueta Antanina Williams, FNP in Rancho Cucamonga, CA

Mrs Jaqueta Antanina Williams, FNP is a medicare enrolled "Nurse Practitioner - Family" in Rancho Cucamonga, California. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Minuteclinic Diagnostic Medical Group Of Orange County Inc and her current practice location is 11428 Kenyon Way, Rancho Cucamonga, California. You can reach out to her office (for appointments etc.) via phone at (951) 780-1835.

Mrs Jaqueta Antanina Williams is licensed to practice in California (license number 95006450) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1952830168.

Contact Information

	Mrs Jaqueta Antanina Williams, FNP
	11428 Kenyon Way, Rancho Cucamonga, CA 91701-9234
	(951) 780-1835
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Jaqueta Antanina Williams
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	11428 Kenyon Way, Rancho Cucamonga, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Jaqueta Antanina Williams graduated from nursing school in 2020

NPI Data:

NPI Number: 1952830168
Provider Enumeration Date: 06/09/2017
Last Update Date: 07/12/2024

Medicare PECOS Information:

PECOS PAC ID: 2668747742
Enrollment ID: I20170929002385

Medical Identifiers

Medical identifiers for Mrs Jaqueta Antanina Williams such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952830168	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	2017014619 (Missouri)	Secondary
363LF0000X	Nurse Practitioner - Family	872356 (Nevada)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	F405824 (New York)	Secondary
363LF0000X	Nurse Practitioner - Family	95006450 (California)	Primary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	TELE310454 (Arizona)	Secondary

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 Jaqueta Antanina Williams allows following entities to bill medicare on her behalf.

Entity Name	Minuteclinic Diagnostic Medical Group Of Orange County Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104013879 PECOS PAC ID: 5991868929 Enrollment ID: O20090116000214

Entity Name	Drynachan Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891044657 PECOS PAC ID: 2264718824 Enrollment ID: O20170906003071

Entity Name	Mint Health Solutions Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316543119 PECOS PAC ID: 8628486131 Enrollment ID: O20210422001607

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 Jaqueta Antanina 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 Jaqueta Antanina Williams, FNP 11141 Ryder Rd, Jurupa Valley, CA 91752-5098 Ph: (314) 322-7627	Mrs Jaqueta Antanina Williams, FNP 11428 Kenyon Way, Rancho Cucamonga, CA 91701-9234 Ph: (951) 780-1835

Reviews and Comments

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Dorian Valdez, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7567 Rhode Island Ct, Rancho Cucamonga, CA 91730 Phone: 909-646-2893
Dawn M Mcclure, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8470 Carson Pl Unit 30, Rancho Cucamonga, CA 91730 Phone: 314-440-8502
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Mrs. Dionne A Gonzales, CNM, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6584 Elderberry Ct, Rancho Cucamonga, CA 91739 Phone: 323-407-1675
Monica B Xie, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8235 Rochester Ave Ste 110, Rancho Cucamonga, CA 91730 Phone: 909-484-4900
Bernice Chinyere Ivoko, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13146 Mungo Ct, Rancho Cucamonga, CA 91739 Phone: 562-824-5099
Chinwe Julian Anekwe, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11007 Skyglow Dr, Rancho Cucamonga, CA 91730 Phone: 310-908-2120

Mrs Jaqueta Antanina Williams, FNP - Medicare Nurse Practitioner in Rancho Cucamonga, CA