Mary Black-williams, NP - Nurse Practitioner in Montclair, CA

Mary Black-williams, NP is a Nurse Practitioner - Women's Health based in Montclair, California. Mary Black-williams is licensed to practice in California (license number 231324) and her current practice location is 5050 San Bernardino St, Montclair, California. She can be reached at her office (for appointments etc.) via phone at (909) 626-2463.

NPI number for Mary Black-williams is 1114013026 and her current mailing address is 3050 E Airport Way, Long Beach, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114013026.

Contact Information

Mary Black-williams, NP
5050 San Bernardino St,
Montclair, CA 91763-2326
(909) 626-2463
(909) 624-6297

Map and Direction




Provider's Profile

Full NameMary Black-williams
GenderFemale
SpecialityNurse Practitioner - Women's Health
Location5050 San Bernardino St, Montclair, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1114013026
  • Provider Enumeration Date: 10/05/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mary Black-williams such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114013026NPI-NPPES
RN2313240OtherCAMEDI-CAL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LW0102XNurse Practitioner - Women's Health 231324 (California)Primary

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. Mary Black-williams is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mary Black-williams, NP
3050 E Airport Way,
Long Beach, CA 90806-2404

Ph: (562) 432-6966
Mary Black-williams, NP
5050 San Bernardino St,
Montclair, CA 91763-2326

Ph: (909) 626-2463

Reviews and Comments


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Mr. Rodolfo Perez Jr., FNP
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Medicare: Medicare Enrolled
Practice Location: 9635 Monte Vista Ave Ste 204, Montclair, CA 91763
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Perla Kelenjian,
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Medicare: Not Enrolled in Medicare
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Phone: 909-624-8019    
Patrick Estudillo, FNP-BC
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Medicare: Not Enrolled in Medicare
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Phone: 909-625-5518    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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