Terosia Moore Williams, NURSE PRACTITIONER in Saint Louis, MO

Terosia Moore Williams, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Adult Health" in Saint Louis, Missouri. Her current practice location is 4624 Lansdowne Ave, Saint Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 536-4661.

Terosia Moore Williams is licensed to practice in Missouri (license number 2023035135) 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 1518742709.

Contact Information

	Terosia Moore Williams, NURSE PRACTITIONER
	4624 Lansdowne Ave, Saint Louis, MO 63116-1523
	(314) 536-4661
	Not Available

Map and Direction

Provider's Profile

Full Name	Terosia Moore Williams
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	4624 Lansdowne Ave, Saint Louis, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518742709
Provider Enumeration Date: 08/28/2023
Last Update Date: 03/19/2024

Medicare PECOS Information:

PECOS PAC ID: 8325482896
Enrollment ID: I20240223000578

Medical Identifiers

Medical identifiers for Terosia Moore Williams such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518742709	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	2023035135 (Missouri)	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. Terosia Moore Williams allows following entities to bill medicare on her behalf.

Entity Name	Karefirst Missouri Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942658943 PECOS PAC ID: 1052605383 Enrollment ID: O20160810000682

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. Terosia Moore 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
Terosia Moore Williams, NURSE PRACTITIONER 7025 Etzel Ave, Saint Louis, MO 63130-2458 Ph: (314) 536-4661	Terosia Moore Williams, NURSE PRACTITIONER 4624 Lansdowne Ave, Saint Louis, MO 63116-1523 Ph: (314) 536-4661

Reviews and Comments

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Terosia Moore Williams, NURSE PRACTITIONER - Medicare Nurse Practitioner in Saint Louis, MO