Travis Duane Williams, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Roeland Park, Kansas. His current practice location is
5675 Roe Blvd, Roeland Park, Kansas. You can reach out to his office (for appointments etc.) via phone at
(913) 432-2080.
Travis Duane Williams is licensed to practice in Kansas (license number 53-81784-03) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1992435143.
Provider's Profile
| Full Name | Travis Duane Williams |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 5675 Roe Blvd, Roeland Park, Kansas |
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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: 1992435143
- Provider Enumeration Date: 06/12/2022
- Last Update Date: 12/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 7315310075
- Enrollment ID: I20230227002799
Medical Identifiers
Medical identifiers for Travis Duane Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1992435143 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 53-81784-03 (Kansas) | Primary |
| 163WC0200X | Registered Nurse - Critical Care Medicine | 2017018483 (Missouri) | Secondary |
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. Travis Duane Williams allows following entities to bill medicare on his behalf.
| Entity Name | Sunflower Medical Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811955024
PECOS PAC ID: 0042286106
Enrollment ID: O20051029000114 |
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| Entity Name | Kansas Carenow Urgent Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255883682
PECOS PAC ID: 8527340702
Enrollment ID: O20170124001184 |
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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. Travis Duane 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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Travis Duane Williams, APRN, FNP-C
5675 Roe Blvd,
Roeland Park, KS 66205-2515
Ph: () - | Travis Duane Williams, APRN, FNP-C
5675 Roe Blvd,
Roeland Park, KS 66205-2515
Ph: (913) 432-2080 |
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