Mrs Nysa R Williams, PT in San Clemente, CA - Medicare Physical Therapist Provider

Mrs Nysa R Williams, PT is a medicare enrolled "Physical Therapist" provider in San Clemente, California. Her current practice location is 130 Avenida Cabrillo Ste C, San Clemente, California. You can reach out to her office (for appointments etc.) via phone at (800) 943-3651.

Mrs Nysa R Williams is licensed to practice in California (license number PT33616) 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 1861462061.

Contact Information

	Mrs Nysa R Williams, PT
	130 Avenida Cabrillo Ste C, San Clemente, CA 92672-5509
	(800) 943-3651
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Nysa R Williams
Gender	Female
Speciality	Physical Therapist
Location	130 Avenida Cabrillo Ste C, San Clemente, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861462061
Provider Enumeration Date: 01/23/2006
Last Update Date: 10/09/2019

Medicare PECOS Information:

PECOS PAC ID: 2264325687
Enrollment ID: I20071019000383

Medical Identifiers

Medical identifiers for Mrs Nysa R Williams such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861462061	NPI	-	NPPES
94223327	Medicaid	CO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT33616 (California)	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. Mrs Nysa R Williams allows following entities to bill medicare on her behalf.

Provider Name	California Luna Care Physical Therapy Pc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1689162166 PECOS PAC ID: 9638427834 Enrollment ID: O20180803002123

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. Mrs Nysa R 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
Mrs Nysa R Williams, PT 130 Avenida Cabrillo Ste C, San Clemente, CA 92672-5509 Ph: (800) 943-3651	Mrs Nysa R Williams, PT 130 Avenida Cabrillo Ste C, San Clemente, CA 92672-5509 Ph: (800) 943-3651

Reviews and Comments

Physical Therapist in San Clemente, CA

Jacqueline Michelle Alm, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 653 Camino De Los Mares, Suite 110, San Clemente, CA 92673 Phone: 949-496-0122
Holly K Finley, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 647 Camino De Los Mares Ste 111, San Clemente, CA 92673 Phone: 949-240-0600 Fax: 949-240-7578
Miss Allison Helen Tuten, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1000 Calle Amanecer, San Clemente, CA 92673 Phone: 949-498-5100
Alisha Marie Rodriguez, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 201 Calle De Los Molinos, San Clemente, CA 92672 Phone: 949-388-5692
Roberta Rae Pennington, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1120 Via Callejon, Suite B, San Clemente, CA 92673 Phone: 949-498-5100
Mary M. Reischl, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1151 Puerta Del Sol, Suite B, San Clemente, CA 92673 Phone: 949-481-0015 Fax: 949-481-5611
Christina Virginia Howard, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 653 Camino De Los Mares, #110, San Clemente, CA 92673 Phone: 858-752-9422

Mrs Nysa R Williams, PT - Medicare Physical Therapist in San Clemente, CA