Dr Adrienne Y Williams, MD is a medicare enrolled "Anesthesiology" physician in Pekin, Illinois. Her current practice location is
600 S 13th St, Pekin, Illinois. You can reach out to her office (for appointments etc.) via phone at
(309) 347-1151.
Dr Adrienne Y Williams is licensed to practice in Illinois (license number 036109114) 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 1255382156.
Physician's Profile
| Full Name | Dr Adrienne Y Williams |
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| Gender | Female |
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| Speciality | Anesthesiology |
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| Location | 600 S 13th St, Pekin, Illinois |
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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: 1255382156
- Provider Enumeration Date: 05/15/2006
- Last Update Date: 09/08/2009
Medicare PECOS Information:
- PECOS PAC ID: 3779483656
- Enrollment ID: I20040109000103
Medical Identifiers
Medical identifiers for Dr Adrienne Y Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1255382156 | NPI | - | NPPES |
| P00274680 | Other | | RR IND MEDICARE ID |
| 036109114 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207L00000X | Anesthesiology | 036109114 (Illinois) | 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. Dr Adrienne Y Williams allows following entities to bill medicare on her behalf.
| Entity Name | Springfield Clinic, Llp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780638478 PECOS PAC ID: 0547166076 Enrollment ID: O20040331000826 |
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| Entity Name | Novus Illinois Service Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295491744 PECOS PAC ID: 6901293786 Enrollment ID: O20220426000454 |
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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. Dr Adrienne Y 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 |
Dr Adrienne Y Williams, MD 401 Main St, Suite 1200, Peoria, IL 61602-1267 Ph: (309) 671-8749 | Dr Adrienne Y Williams, MD 600 S 13th St, Pekin, IL 61554-4936 Ph: (309) 347-1151 |
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