Beverly Diane Williams, APRN, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" physician in Berea, Ohio. Her current practice location is
205 W Bagley Rd, Berea, Ohio. You can reach out to her office (for appointments etc.) via phone at
(440) 398-8018.
Beverly Diane Williams is licensed to practice in Ohio (license number APRNCNP019545) 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 1285162206.
Physician's Profile
| Full Name | Beverly Diane Williams |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 205 W Bagley Rd, Berea, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1285162206
- Provider Enumeration Date: 06/03/2017
- Last Update Date: 10/09/2025
Medicare PECOS Information:
- PECOS PAC ID: 5597020651
- Enrollment ID: I20180521002437
Medical Identifiers
Medical identifiers for Beverly Diane Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1285162206 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | F0716916 (Ohio) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRNCNP019545 (Ohio) | 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. Beverly Diane Williams allows following entities to bill medicare on her behalf.
| Entity Name | Prospect Urgent Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760951644
PECOS PAC ID: 4587096227
Enrollment ID: O20191118001948 |
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| Entity Name | Hometown Urgent Care Of Michigan Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790030385
PECOS PAC ID: 8123270840
Enrollment ID: O20211014001382 |
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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. Beverly Diane 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 |
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Beverly Diane Williams, APRN, FNP-BC
7580 Northcliff Ave Ste 700,
Brooklyn, OH 44144-3271
Ph: () - | Beverly Diane Williams, APRN, FNP-BC
205 W Bagley Rd,
Berea, OH 44017-1886
Ph: (440) 398-8018 |
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