Kelly Williams, in Waterford, CT - Medicare Dietitian, Registered Provider

Kelly Williams, is a medicare enrolled "Dietitian, Registered" provider in Waterford, Connecticut. Her current practice location is 169 Stoneheights Dr, Waterford, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 988-1267.

Kelly Williams is licensed to practice in New Hampshire (license number 1267) 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 1497460869.

Contact Information

	Kelly Williams,
	169 Stoneheights Dr, Waterford, CT 06385-1951
	(203) 988-1267
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Williams
Gender	Female
Speciality	Dietitian, Registered
Location	169 Stoneheights Dr, Waterford, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497460869
Provider Enumeration Date: 01/19/2023
Last Update Date: 01/19/2023

Medicare PECOS Information:

PECOS PAC ID: 4183088016
Enrollment ID: I20230912000764

Medical Identifiers

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

Identifier	Type	State	Issuer
1497460869	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	1582 (Connecticut)	Secondary
133V00000X	Dietitian, Registered	LDN01188 (Rhode Island)	Secondary
133V00000X	Dietitian, Registered	1267 (New Hampshire)	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. Kelly 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 Williams, 169 Stoneheights Dr, Waterford, CT 06385-1951 Ph: (203) 988-1267	Kelly Williams, 169 Stoneheights Dr, Waterford, CT 06385-1951 Ph: (203) 988-1267

Reviews and Comments

Dietitian, Registered in Waterford, CT

Ms. Rosemary E Gentile, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 22 Valley St, Waterford, CT 06385 Phone: 860-437-3027
Nutrition By Natalie, Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4 Indian Valley Dr, Waterford, CT 06385 Phone: 860-371-5242
Maia Rose Smith, MS, RD, CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 310 Boston Post Rd Unit 163, Waterford, CT 06385 Phone: 860-912-8079
Amy R King, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 163 Boston Post Rd, Suite 3&4, Waterford, CT 06385 Phone: 860-444-8774 Fax: 860-444-8776
Natalie Rose Smith, MS, RDN, CSO Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4 Indian Valley Dr, Waterford, CT 06385 Phone: 860-371-5242

Kelly Williams, - Medicare Dietitian in Waterford, CT