Shavon Williams, APRN is a medicare enrolled "Nurse Practitioner - Family" in South Carolina, South Carolina. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Elite Patient Care Of South Carolina Pc and her current practice location is
611 East Hampton Street, Anderson, South Carolina, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(864) 226-5054.
Shavon Williams is licensed to practice in South Carolina (license number 23144) 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 1134777543.
Provider's Profile
| Full Name | Shavon Williams |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 611 East Hampton Street, South Carolina, South Carolina |
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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. |
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Medical Education and Training:
- Shavon Williams graduated from nursing school in 2019
NPI Data:
- NPI Number: 1134777543
- Provider Enumeration Date: 08/28/2019
- Last Update Date: 10/12/2022
Medicare PECOS Information:
- PECOS PAC ID: 8820320526
- Enrollment ID: I20191030001101
Medical Identifiers
Medical identifiers for Shavon Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1134777543 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 23144 (South Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Elite Patient Care Of South Carolina Pc | 1951672617 | 131 |
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. Shavon Williams allows following entities to bill medicare on her behalf.
| Entity Name | Greater Greenville Family Health Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053638940
PECOS PAC ID: 7113050212
Enrollment ID: O20100726000767 |
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| Entity Name | Ch Specialty Services Sc Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275915522
PECOS PAC ID: 6608182993
Enrollment ID: O20150901002450 |
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| Entity Name | Elite Patient Care Of South Carolina Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316477896
PECOS PAC ID: 1951672617
Enrollment ID: O20170731000866 |
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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. Shavon 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 |
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Shavon Williams, APRN
611 East Hampton Street, Anderson,
South Carolina, SC 29624
Ph: () - | Shavon Williams, APRN
611 East Hampton Street, Anderson,
South Carolina, SC 29624
Ph: (864) 226-5054 |
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