Kathleen Williams, DO is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Weaverville, California. She went to New York College Of Osteo Medicine Of New York Institute Of Technology and graduated in 1995 and has 30 years of diverse experience with area of expertise as Critical Care (intensivists). She is a member of the group practice Jiva Health Inc and her current practice location is
31 Easter Ave, Weaverville, California. You can reach out to her office (for appointments etc.) via phone at
(530) 623-4186.
Kathleen Williams is licensed to practice in California (license number 20A9620) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1164480224.
Physician's Profile
| Full Name | Kathleen Williams |
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| Gender | Female |
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| Speciality | Critical Care (intensivists) |
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| Experience | 30 Years |
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| Location | 31 Easter Ave, Weaverville, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kathleen Williams attended and graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 1995
NPI Data:
- NPI Number: 1164480224
- Provider Enumeration Date: 05/01/2006
- Last Update Date: 05/03/2021
Medicare PECOS Information:
- PECOS PAC ID: 8325094766
- Enrollment ID: I20151231002005
Medical Identifiers
Medical identifiers for Kathleen Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1164480224 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | DO25468 (Oregon) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | 20A9620 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Jiva Health Inc | 5092115105 | 34 |
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. Kathleen Williams allows following entities to bill medicare on her behalf.
| Entity Name | Jiva Health Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285223552
PECOS PAC ID: 5092115105
Enrollment ID: O20210610003376 |
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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. Kathleen 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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Kathleen Williams, DO
Po Box 204,
Hayfork, CA 96041-0204
Ph: (530) 739-5810 | Kathleen Williams, DO
31 Easter Ave,
Weaverville, CA 96093
Ph: (530) 623-4186 |
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