Antoinette Shanae' Williams, PA-C is a medicare enrolled "Physician Assistant" physician in Prince George, Virginia. Her current practice location is
2035 Waterside Rd Ste 105, Prince George, Virginia. You can reach out to her office (for appointments etc.) via phone at
(804) 256-8282.
Antoinette Shanae' Williams is licensed to practice in Virginia (license number 0110008588) 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 1437886348.
Physician's Profile
Full Name | Antoinette Shanae' Williams |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 2035 Waterside Rd Ste 105, Prince George, Virginia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1437886348
- Provider Enumeration Date: 08/02/2022
- Last Update Date: 04/18/2025
Medicare PECOS Information:
- PECOS PAC ID: 6204205370
- Enrollment ID: I20221212002494
Medical Identifiers
Medical identifiers for Antoinette Shanae' Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1437886348 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 0110008588 (Virginia) | Secondary |
207R00000X | Internal Medicine | 0110008588 (Virginia) | Secondary |
363A00000X | Physician Assistant | 0110008588 (Virginia) | 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. Antoinette Shanae' 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 |
Antoinette Shanae' Williams, PA-C 7300 Ashlake Pkwy Ste 200, Chesterfield, VA 23832-2827 Ph: (804) 256-8282 | Antoinette Shanae' Williams, PA-C 2035 Waterside Rd Ste 105, Prince George, VA 23875-1265 Ph: (804) 256-8282 |
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