Kelly Ann Williams, FNP-BC in Harbor City, CA

Kelly Ann Williams, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Harbor City, California. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southern California Permanente Medical Group and her current practice location is 1050 Pacific Coast Hwy, Harbor City, California. You can reach out to her office (for appointments etc.) via phone at (424) 328-2689.

Kelly Ann Williams is licensed to practice in California (license number 95000585) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1972844371.

Contact Information

	Kelly Ann Williams, FNP-BC
	1050 Pacific Coast Hwy, Harbor City, CA 90710-3509
	(424) 328-2689
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelly Ann Williams
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	1050 Pacific Coast Hwy, Harbor City, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelly Ann Williams graduated from nursing school in 2014

NPI Data:

NPI Number: 1972844371
Provider Enumeration Date: 03/09/2013
Last Update Date: 12/04/2021

Medicare PECOS Information:

PECOS PAC ID: 0042438822
Enrollment ID: I20140820002708

Medical Identifiers

Medical identifiers for Kelly Ann Williams such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972844371	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	657411-1 (New York)	Secondary
163W00000X	Registered Nurse	852291 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	95000585 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern California Permanente Medical Group	6002729175	7951

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. Kelly Ann Williams allows following entities to bill medicare on her behalf.

Entity Name	Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881763597 PECOS PAC ID: 4284547274 Enrollment ID: O20031106000389

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

Entity Name	University Of California San Francisco
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861578973 PECOS PAC ID: 4486567229 Enrollment ID: O20031212000897

Entity Name	Ucsf Medical Group Business Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477624104 PECOS PAC ID: 3779497870 Enrollment ID: O20040622001513

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. Kelly Ann 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
Kelly Ann Williams, FNP-BC 25825 Vermont Ave, Harbor City, CA 90710-3518 Ph: () -	Kelly Ann Williams, FNP-BC 1050 Pacific Coast Hwy, Harbor City, CA 90710-3509 Ph: (424) 328-2689

Reviews and Comments

Nurse Practitioner Nurses in Harbor City, CA

Angelita Domingo Bueno, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1403 Lomita Blvd, Harbor City, CA 90710 Phone: 310-784-5800 Fax: 310-530-9811
Rosemary Fleming, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111
Christina Cortez Van Guyse, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111
Rose S Hurowitz, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111
Renee D Wright, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111
Michelle Neal, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111
Janice M Boyk, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111

Kelly Ann Williams, FNP-BC - Medicare Nurse Practitioner in Harbor City, CA