Renea Marie Williams, CNM is a medicare enrolled "Advanced Practice Midwife" in Warsaw, Indiana. Her current practice location is
1210 Provident Dr, Warsaw, Indiana. You can reach out to her office (for appointments etc.) via phone at
(574) 268-4300.
Renea Marie Williams is licensed to practice in Indiana (license number 09000443C) 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 1124808399.
Provider's Profile
Full Name | Renea Marie Williams |
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Gender | Female |
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Speciality | Advanced Practice Midwife |
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Location | 1210 Provident Dr, Warsaw, Indiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1124808399
- Provider Enumeration Date: 10/04/2023
- Last Update Date: 10/05/2023
Medicare PECOS Information:
- PECOS PAC ID: 7517314503
- Enrollment ID: I20231113003397
Medical Identifiers
Medical identifiers for Renea Marie Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124808399 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367A00000X | Advanced Practice Midwife | 09000443C (Indiana) | 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. Renea Marie Williams allows following entities to bill medicare on her behalf.
Entity Name | Kosciusko Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1932349594 PECOS PAC ID: 5496809956 Enrollment ID: O20090818000398 |
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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. Renea Marie 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 |
Renea Marie Williams, CNM 6920 Pointe Inverness Way Ste 200, Fort Wayne, IN 46804-7934 Ph: (260) 479-3513 | Renea Marie Williams, CNM 1210 Provident Dr, Warsaw, IN 46580-3376 Ph: (574) 268-4300 |
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