| Caitlin Maree Defazio Williams, NP-C | |
|
11145 Highway 6 W, Thaxton, MS 38871-9024 | |
| (662) 489-8500 | |
| Not Available |
| Full Name | Caitlin Maree Defazio Williams |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 11145 Highway 6 W, Thaxton, Mississippi |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437622909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 903099 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Mississippi Medical Ctr Hha | Tupelo, MS | Home health agency |
| North Mississippi Medical Center | Tupelo, MS | Hospital |
| Tishomingo Health Services Inc | Iuka, MS | Hospital |
| North Mississippi Medical Center-gilmore Amory | Amory, MS | Hospital |
| Pontotoc Health Service Inc Cah | Pontotoc, MS | Hospital |
| Clay County Medical Corporation | West point, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Mississippi Medical Center, Inc. | 9931010600 | 298 |
| Entity Name | North Mississippi Medical Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972608347 PECOS PAC ID: 9931010600 Enrollment ID: O20040413000541 |
| Mailing Address | Practice Location Address |
|---|---|
| Caitlin Maree Defazio Williams, NP-C 128 Calloway Loop, Pontotoc, MS 38863-6102 Ph: (662) 317-9783 | Caitlin Maree Defazio Williams, NP-C 11145 Highway 6 W, Thaxton, MS 38871-9024 Ph: (662) 489-8500 |
Cassie Bradley Taylor, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11145 Highway 6 W, Thaxton, MS 38871 Phone: 662-489-8500 | |
Pamela Dianne Clegg-alderman, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11145 Highway 6 W, Thaxton, MS 38871 Phone: 662-489-8500 Fax: 662-489-8600 | |
Kacie Cameron Hollimon, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11145 Highway 6 W, Thaxton, MS 38871 Phone: 662-489-8500 | |
Mrs. Carley Walker Herndon, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11145 Ms-6, Thaxton, MS 38871 Phone: 662-489-8500 Fax: 662-489-8600 |