Mr Sugi Utama Williams, MSN, FNP-C, FNP-BC in Merced, CA

Mr Sugi Utama Williams, MSN, FNP-C, FNP-BC is a medicare enrolled "Nurse Practitioner" in Merced, California. His current practice location is 333 Mercy Ave, Merced, California. You can reach out to his office (for appointments etc.) via phone at (209) 201-6455.

Mr Sugi Utama Williams is licensed to practice in California (license number NP95020735) 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 1336876754.

Contact Information

	Mr Sugi Utama Williams, MSN, FNP-C, FNP-BC
	333 Mercy Ave, Merced, CA 95340-8319
	(209) 201-6455
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Sugi Utama Williams
Gender	Male
Speciality	Nurse Practitioner
Location	333 Mercy Ave, Merced, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336876754
Provider Enumeration Date: 08/05/2022
Last Update Date: 03/14/2024

Medicare PECOS Information:

PECOS PAC ID: 3779941257
Enrollment ID: I20230614003705

Medical Identifiers

Medical identifiers for Mr Sugi Utama Williams such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336876754	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	NP95020735 (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. Mr Sugi Utama Williams allows following entities to bill medicare on his behalf.

Entity Name	San Joaquin Emergency Medical Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588960413 PECOS PAC ID: 6305022047 Enrollment ID: O20110516000103

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. Mr Sugi Utama 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
Mr Sugi Utama Williams, MSN, FNP-C, FNP-BC 333 Mercy Ave, Merced, CA 95340-8319 Ph: (209) 564-5000	Mr Sugi Utama Williams, MSN, FNP-C, FNP-BC 333 Mercy Ave, Merced, CA 95340-8319 Ph: (209) 201-6455

Reviews and Comments

Nurse Practitioner Nurses in Merced, CA

Mrs. Rubirosa Cervantes Arandia, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3389 G St, Merced, CA 95340 Phone: 209-384-9401
Raj Kumar Sharma, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4824 Langley Way, Merced, CA 95348 Phone: 209-724-3553
Mary Alice Hintenach, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 315 E 13th St, Merced, CA 95340 Phone: 209-385-7060 Fax: 209-385-7017
Mrs. Amanda Eliza Gibson, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 315 E 13th St, Merced, CA 95341 Phone: 209-564-4500
Ms. Gina Leisha Broussard, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3349 G St Ste F, Merced, CA 95340 Phone: 209-349-8459 Fax: 209-580-4671
Deirdre Alice Mazzetto, NP, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 220 E 13th St, Merced, CA 95341 Phone: 209-723-2122
Miss Rashilda Ayanna Storm, MSN, AGPCNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 857 W Childs Ave, Geriatrics, Merced, CA 95341 Phone: 209-385-5600 Fax: 209-385-5674

Mr Sugi Utama Williams, MSN, FNP-C, FNP-BC - Medicare Nurse Practitioner in Merced, CA