Charlaine Ida Williamson, NP in Rancho Cucamonga, CA

Charlaine Ida Williamson, NP is a medicare enrolled "Nurse Practitioner - Family" in Rancho Cucamonga, California. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Providence Medical Foundation and her current practice location is 9170 Haven Ave Ste 120, Rancho Cucamonga, California. You can reach out to her office (for appointments etc.) via phone at (909) 476-8700.

Charlaine Ida Williamson is licensed to practice in California (license number 19923) 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 1932408960.

Contact Information

	Charlaine Ida Williamson, NP
	9170 Haven Ave Ste 120, Rancho Cucamonga, CA 91730-5416
	(909) 476-8700
	(909) 987-1400

Map and Direction

Provider's Profile

Full Name	Charlaine Ida Williamson
Gender	Female
Speciality	Nurse Practitioner
Experience	14 Years
Location	9170 Haven Ave Ste 120, 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:

Charlaine Ida Williamson graduated from nursing school in 2010

NPI Data:

NPI Number: 1932408960
Provider Enumeration Date: 03/16/2011
Last Update Date: 04/13/2021

Medicare PECOS Information:

PECOS PAC ID: 7113188293
Enrollment ID: I20120417000482

Medical Identifiers

Medical identifiers for Charlaine Ida Williamson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932408960	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	19923 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Jude Medical Center	Fullerton, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Medical Foundation	8921993205	1312

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. Charlaine Ida Williamson allows following entities to bill medicare on her behalf.

Entity Name	Chaparral Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477733624 PECOS PAC ID: 6800709403 Enrollment ID: O20031110000605

Entity Name	Providence Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346

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. Charlaine Ida Williamson 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
Charlaine Ida Williamson, NP 11422 Anzio Ct, Rancho Cucamonga, CA 91701-8500 Ph: (909) 996-9903	Charlaine Ida Williamson, NP 9170 Haven Ave Ste 120, Rancho Cucamonga, CA 91730-5416 Ph: (909) 476-8700

Reviews and Comments

Nurse Practitioner Nurses in Rancho Cucamonga, CA

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
Jiao Feng, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8112 Milliken Ave Ste 201, Rancho Cucamonga, CA 91730 Phone: 909-466-7337
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

Charlaine Ida Williamson, NP - Medicare Nurse Practitioner in Rancho Cucamonga, CA