Mrs Octavia Keisha Lusane-williams, RN is a
Technician, Pathology - Clinical Laboratory Director, Non-physician based in Macon, Georgia. Mrs Octavia Keisha Lusane-williams is licensed to practice in * (Not Available) (license number ) and her current practice location is
625 Crabapple Pl, Macon, Georgia. She can be reached at her office (for appointments etc.) via phone at
(478) 227-2799.
NPI number for Mrs Octavia Keisha Lusane-williams is 1295464881 and her current mailing address is Po Box 156, Dry Branch, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295464881.
Provider's Profile
| Full Name | Mrs Octavia Keisha Lusane-williams |
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| Gender | Female |
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| Speciality | Technician, Pathology - Clinical Laboratory Director, Non-physician |
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| Location | 625 Crabapple Pl, Macon, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1295464881
- Provider Enumeration Date: 06/08/2022
- Last Update Date: 06/08/2022
Medical Identifiers
Medical identifiers for Mrs Octavia Keisha Lusane-williams such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295464881 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | RN231748 (Georgia) | Secondary |
| 247ZC0005X | Technician, Pathology - Clinical Laboratory Director, Non-physician | (* (Not Available)) | 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 Octavia Keisha Lusane-williams is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Octavia Keisha Lusane-williams, RN
Po Box 156,
Dry Branch, GA 31020-0156
Ph: (478) 227-2799 | Mrs Octavia Keisha Lusane-williams, RN
625 Crabapple Pl,
Macon, GA 31217-5575
Ph: (478) 227-2799 |
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