Miss Shaquetta Keira Williams, in Winston Salem, NC - Medicare Speech-Language Pathologist Provider

Miss Shaquetta Keira Williams, is a medicare enrolled "Speech-language Pathologist" provider in Winston Salem, North Carolina. Her current practice location is 1240 Arbor Rd, Winston Salem, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 724-7921.

Miss Shaquetta Keira Williams is licensed to practice in North Carolina (license number 14858) 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 1881217164.

Contact Information

	Miss Shaquetta Keira Williams,
	1240 Arbor Rd, Winston Salem, NC 27104-1197
	(336) 724-7921
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Miss Shaquetta Keira Williams
Gender	Female
Speciality	Speech-language Pathologist
Location	1240 Arbor Rd, Winston Salem, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881217164
Provider Enumeration Date: 05/21/2020
Last Update Date: 01/28/2022

Medicare PECOS Information:

PECOS PAC ID: 4688067523
Enrollment ID: I20220217000322

Medical Identifiers

Medical identifiers for Miss Shaquetta Keira Williams such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881217164	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	(Arizona)	Secondary
235Z00000X	Speech-language Pathologist	14858 (North Carolina)	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. Miss Shaquetta Keira Williams allows following entities to bill medicare on her behalf.

Provider Name	Functional Pathways Preferred Of Tennessee Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1841561446 PECOS PAC ID: 2860649654 Enrollment ID: O20220214000353

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. Miss Shaquetta Keira 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
Miss Shaquetta Keira Williams, 17100 E Shea Blvd Ste 600, Fountain Hills, AZ 85268-6663 Ph: () -	Miss Shaquetta Keira Williams, 1240 Arbor Rd, Winston Salem, NC 27104-1197 Ph: (336) 724-7921

Reviews and Comments

Speech-Language Pathologist in Winston Salem, NC

Liza Brincefield Phillips, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 185 Charlois Blvd, Winston Salem, NC 27103 Phone: 336-725-0222 Fax: 336-725-0454
Mrs. Erica Blackwelder Harwell, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 185 Charlois Blvd, Winston Salem, NC 27103 Phone: 336-725-0222
Mallory Golden, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 185 Charlois Blvd, Winston Salem, NC 27103 Phone: 336-725-0222 Fax: 336-725-0454
Janet Eaddy, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3505 Dunnbarton Dr, Winston Salem, NC 27107 Phone: 336-788-6088 Fax: 336-788-0953
Jayme Stuart, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1000 Salemtowne Dr, Winston Salem, NC 27106 Phone: 336-776-2300
Ms. Jennifer Geib, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 185 Charlois Blvd, Winston Salem, NC 27103 Phone: 336-725-0222
Mrs. J'mia Kae Wade, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2282 Providence Pt Ln Apt 203, Winston Salem, NC 27106 Phone: 336-817-9982

Miss Shaquetta Keira Williams, - Medicare Speech-Language Pathologist in Winston Salem, NC