Nicole Genevieve Williams, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" in Colton, California. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Psychiatry. She is a member of the group practice Cep America - Psychiatry Pc, Pih Health Physicians and her current practice location is
400 N Pepper Ave, Colton, California. You can reach out to her office (for appointments etc.) via phone at
(909) 580-2186.
Nicole Genevieve Williams is licensed to practice in California (license number A173753) 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 1083936660.
Provider's Profile
Full Name | Nicole Genevieve Williams |
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Gender | Female |
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Speciality | Psychiatry |
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Experience | 6 Years |
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Location | 400 N Pepper Ave, Colton, California |
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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:
- Nicole Genevieve Williams graduated from nursing school in 2018
NPI Data:
- NPI Number: 1083936660
- Provider Enumeration Date: 02/23/2010
- Last Update Date: 06/22/2022
Medicare PECOS Information:
- PECOS PAC ID: 7416341177
- Enrollment ID: I20220223002612
Medical Identifiers
Medical identifiers for Nicole Genevieve Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083936660 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 18786 (California) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | A173753 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Cep America - Psychiatry Pc | 0244522159 | 62 |
Pih Health Physicians | 8426951328 | 445 |
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. Nicole Genevieve Williams allows following entities to bill medicare on her behalf.
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
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Entity Name | Pih Health Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1609233899 PECOS PAC ID: 8426951328 Enrollment ID: O20040128001177 |
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Entity Name | Rideout Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1720088354 PECOS PAC ID: 9234036088 Enrollment ID: O20040610000983 |
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Entity Name | Cep America - Psychiatry Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1538757232 PECOS PAC ID: 0244522159 Enrollment ID: O20160713002860 |
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Entity Name | Mental Wellness Partners |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1972096295 PECOS PAC ID: 0749531259 Enrollment ID: O20180921003169 |
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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. Nicole Genevieve 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 |
Nicole Genevieve Williams, MD 400 N Pepper Ave, Colton, CA 92324-1801 Ph: (909) 580-2186 | Nicole Genevieve Williams, MD 400 N Pepper Ave, Colton, CA 92324-1801 Ph: (909) 580-2186 |
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