Emily C Williams, CFNP is a medicare enrolled "Nurse Practitioner" physician in Chicago, Illinois. Her current practice location is
75 Remit Dr # 1248, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at
(866) 916-5259.
Emily C Williams is licensed to practice in New York (license number 613240) 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 1295962892.
Physician's Profile
| Full Name | Emily C Williams |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 75 Remit Dr # 1248, Chicago, Illinois |
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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: 1295962892
- Provider Enumeration Date: 06/22/2009
- Last Update Date: 03/30/2010
Medicare PECOS Information:
- PECOS PAC ID: 0446305528
- Enrollment ID: I20090826000652
Medical Identifiers
Medical identifiers for Emily C Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295962892 | NPI | - | NPPES |
| 03131477 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 613240 (New York) | Secondary |
| 363L00000X | Nurse Practitioner | 613240 (New York) | 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. Emily C Williams allows following entities to bill medicare on her behalf.
| Entity Name | Family Medicine Associates Of Ithaca Llp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326184490
PECOS PAC ID: 3779566435
Enrollment ID: O20040611001359 |
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| Entity Name | Ithaca Medical Services Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164166559
PECOS PAC ID: 2961887583
Enrollment ID: O20220919001604 |
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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. Emily C 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 |
|---|
Emily C Williams, CFNP
75 Remit Dr # 1248,
Chicago, IL 60675-1248
Ph: (866) 916-5259 | Emily C Williams, CFNP
75 Remit Dr # 1248,
Chicago, IL 60675-1248
Ph: (866) 916-5259 |
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