Ronda D Williamson, FNP BC is a medicare enrolled "Nurse Practitioner - Family" in Cobbtown, Georgia. Her current practice location is
36671 Highway 23, Cobbtown, Georgia. You can reach out to her office (for appointments etc.) via phone at
(912) 684-2071.
Ronda D Williamson is licensed to practice in Georgia (license number RN072778) 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 1790703833.
Provider's Profile
| Full Name | Ronda D Williamson |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 36671 Highway 23, Cobbtown, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1790703833
- Provider Enumeration Date: 07/17/2006
- Last Update Date: 06/18/2014
Medicare PECOS Information:
- PECOS PAC ID: 7719107143
- Enrollment ID: I20151116001882
Medical Identifiers
Medical identifiers for Ronda D Williamson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790703833 | NPI | - | NPPES |
| 723799683B | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | RN072778 NP (Georgia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | RN072778 (Georgia) | 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. Ronda D Williamson allows following entities to bill medicare on her behalf.
| Entity Name | Tattnall Hospital Company Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790942381
PECOS PAC ID: 6204907124
Enrollment ID: O20080915000167 |
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| Entity Name | Southland Bainbridge Hospitalist Group, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356735336
PECOS PAC ID: 7214248335
Enrollment ID: O20150616002069 |
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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. Ronda D 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 |
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Ronda D Williamson, FNP BC
210 E Derenne Ave,
Savannah, GA 31405
Ph: (912) 644-5300 | Ronda D Williamson, FNP BC
36671 Highway 23,
Cobbtown, GA 30420-6042
Ph: (912) 684-2071 |
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