Dr Krystle Michelle Williams, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Bay Pines, Florida. Her current practice location is
10000 Bay Pines Blvd, Cw Bill Young Va Medical Center, Bay Pines, Florida. You can reach out to her office (for appointments etc.) via phone at
(727) 398-6661.
Dr Krystle Michelle Williams is licensed to practice in Florida (license number ME 123768) 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 1477782118.
Physician's Profile
| Full Name | Dr Krystle Michelle Williams |
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| Gender | Female |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 10000 Bay Pines Blvd, Bay Pines, Florida |
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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: 1477782118
- Provider Enumeration Date: 07/02/2009
- Last Update Date: 04/20/2017
Medicare PECOS Information:
- PECOS PAC ID: 5294974796
- Enrollment ID: I20170811001589
Medical Identifiers
Medical identifiers for Dr Krystle Michelle Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477782118 | NPI | - | NPPES |
| 03914436 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | 25MA09225300 (New Jersey) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | A272335-1 (New York) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | ME 123768 (Florida) | 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 Krystle Michelle Williams allows following entities to bill medicare on her behalf.
| Entity Name | Legacy Physiatry Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316078769
PECOS PAC ID: 1759353519
Enrollment ID: O20141014000387 |
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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 Krystle Michelle 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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Dr Krystle Michelle Williams, MD
13548 Traditions Dr,
Seminole, FL 33776-3400
Ph: (917) 568-2026 | Dr Krystle Michelle Williams, MD
10000 Bay Pines Blvd, Cw Bill Young Va Medical Center,
Bay Pines, FL 33744-8200
Ph: (727) 398-6661 |
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