Chanell S Williams, is a
Student In An Organized Health Care Education/training Program based in Newark, New Jersey. Chanell S Williams is licensed to practice in * (Not Available) (license number ) and her current practice location is
65 Bergen St, Newark, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(973) 972-4307.
NPI number for Chanell S Williams is 1114779840 and her current mailing address is 65 Bergen St, Newark, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114779840.
Provider's Profile
Full Name | Chanell S Williams |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 65 Bergen St, Newark, New Jersey |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1114779840
- Provider Enumeration Date: 04/04/2024
- Last Update Date: 04/09/2024
Medical Identifiers
Medical identifiers for Chanell S Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114779840 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WE0003X | Registered Nurse - Emergency | 26NR19308300 (New Jersey) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Chanell S Williams is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Chanell S Williams, 65 Bergen St, Newark, NJ 07107-3001 Ph: (973) 972-4307 | Chanell S Williams, 65 Bergen St, Newark, NJ 07107-3001 Ph: (973) 972-4307 |
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