Shenetta Latrice Williams, FNP in Clarksdale, MS

Shenetta Latrice Williams, FNP is a medicare enrolled "Nurse Practitioner - Family" in Clarksdale, Mississippi. Her current practice location is 619 S State St, Clarksdale, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 966-1012.

Shenetta Latrice Williams is licensed to practice in Mississippi (license number 906164) 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 1780464560.

Contact Information

	Shenetta Latrice Williams, FNP
	619 S State St, Clarksdale, MS 38614-6319
	(662) 966-1012
	Not Available

Map and Direction

Provider's Profile

Full Name	Shenetta Latrice Williams
Gender	Female
Speciality	Nurse Practitioner - Family
Location	619 S State St, Clarksdale, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780464560
Provider Enumeration Date: 09/29/2023
Last Update Date: 09/29/2023

Medicare PECOS Information:

PECOS PAC ID: 2668828518
Enrollment ID: I20231027003453

Medical Identifiers

Medical identifiers for Shenetta Latrice Williams such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780464560	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	906164 (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. Shenetta Latrice Williams allows following entities to bill medicare on her behalf.

Entity Name	Fast Pace Mississippi Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447769559 PECOS PAC ID: 3678832029 Enrollment ID: O20180111000291

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. Shenetta Latrice 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
Shenetta Latrice Williams, FNP 81 Bledsoe St, Grenada, MS 38901-3711 Ph: (662) 809-1277	Shenetta Latrice Williams, FNP 619 S State St, Clarksdale, MS 38614-6319 Ph: (662) 966-1012

Reviews and Comments

Nurse Practitioner Nurses in Clarksdale, MS

Margaret Chandler Lewis, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2245 N State St, Clarksdale, MS 38614 Phone: 662-627-4131 Fax: 662-627-4131
Mrs. Regina Denise Groner, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 619 S State St, Clarksdale, MS 38614 Phone: 662-966-1012
Gwenevere Chew, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 340 Desoto Avenue Ext, Clarksdale, MS 38614 Phone: 662-741-2151 Fax: 662-741-2700
Anna Jones, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 220 Sunflower Ave, Clarksdale, MS 38614 Phone: 662-351-2035 Fax: 662-351-2045
Lashonda Lashay Bradley, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1967 Hospital Dr, Clarksdale, MS 38614 Phone: 662-624-5481 Fax: 662-621-1499
Dr. Carleen Thompson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1402 Miller Dr, Clarksdale, MS 38614 Phone: 662-627-8694
Undra L Haggan, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1202 Desoto Ave, Clarksdale, MS 38614 Phone: 662-202-1297

Shenetta Latrice Williams, FNP - Medicare Nurse Practitioner in Clarksdale, MS