Mrs Amber Dickerson Williams, FNP-C is a medicare enrolled "Nurse Practitioner - Family" physician in Windsor, North Carolina. Her current practice location is
119 E Granville St, Windsor, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(252) 484-4410.
Mrs Amber Dickerson Williams is licensed to practice in North Carolina (license number 5014191) 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 1780262311.
Physician's Profile
| Full Name | Mrs Amber Dickerson Williams |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 119 E Granville St, Windsor, North Carolina |
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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: 1780262311
- Provider Enumeration Date: 04/02/2021
- Last Update Date: 07/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 1456746627
- Enrollment ID: I20220325000376
Medical Identifiers
Medical identifiers for Mrs Amber Dickerson Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1780262311 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 5014191 (North Carolina) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | 5014191 (North Carolina) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 5014191 (North Carolina) | 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. Mrs Amber Dickerson Williams allows following entities to bill medicare on her behalf.
| Entity Name | Living The Breamedical - Salisbury, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275291361 PECOS PAC ID: 1951784933 Enrollment ID: O20220824001984 |
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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. Mrs Amber Dickerson 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 |
Mrs Amber Dickerson Williams, FNP-C 4110 Brown Rd, Jamesville, NC 27846-9530 Ph: (252) 789-4848 | Mrs Amber Dickerson Williams, FNP-C 119 E Granville St, Windsor, NC 27983-1230 Ph: (252) 484-4410 |
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