Mrs Rasheda Jordan Williams, FNP in Jackson, MS

Mrs Rasheda Jordan Williams, FNP is a medicare enrolled "Nurse Practitioner - Family" in Jackson, Mississippi. Her current practice location is 4890 Highway 18 W, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 301-5385.

Mrs Rasheda Jordan Williams is licensed to practice in Mississippi (license number R864253) 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 1790072288.

Contact Information

	Mrs Rasheda Jordan Williams, FNP
	4890 Highway 18 W, Jackson, MS 39209-9666
	(601) 301-5385
	(877) 866-2356

Map and Direction

Provider's Profile

Full Name	Mrs Rasheda Jordan Williams
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4890 Highway 18 W, Jackson, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790072288
Provider Enumeration Date: 07/05/2011
Last Update Date: 02/19/2025

Medicare PECOS Information:

PECOS PAC ID: 1254577935
Enrollment ID: I20130425000223

Medical Identifiers

Medical identifiers for Mrs Rasheda Jordan Williams such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790072288	NPI	-	NPPES
09383254	Medicaid	MS
R864253	Other	MS	LICENSE NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R864253 (Mississippi)	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 Rasheda Jordan Williams allows following entities to bill medicare on her behalf.

Entity Name	Centerwell Senior Primary Care Ms Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841902830 PECOS PAC ID: 0143694190 Enrollment ID: O20230315000489

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 Rasheda Jordan 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 Rasheda Jordan Williams, FNP 6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168 Ph: (844) 630-0700	Mrs Rasheda Jordan Williams, FNP 4890 Highway 18 W, Jackson, MS 39209-9666 Ph: (601) 301-5385

Reviews and Comments

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Mrs Rasheda Jordan Williams, FNP - Medicare Nurse Practitioner in Jackson, MS