Davette Traci Williams, RN in Kernersville, NC

Davette Traci Williams, RN is a medicare enrolled "Nurse Practitioner" in Kernersville, North Carolina. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Novant Medical Group Inc and her current practice location is 1750 Kernersville Medical Pkwy, Kernersville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 802-2145.

Davette Traci Williams is licensed to practice in North Carolina (license number 5005190) 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 1265727192.

Contact Information

	Davette Traci Williams, RN
	1750 Kernersville Medical Pkwy, Kernersville, NC 27284-7146
	(336) 802-2145
	(336) 802-2146

Map and Direction

Provider's Profile

Full Name	Davette Traci Williams
Gender	Female
Speciality	Nurse Practitioner
Experience	13 Years
Location	1750 Kernersville Medical Pkwy, Kernersville, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Davette Traci Williams graduated from nursing school in 2011

NPI Data:

NPI Number: 1265727192
Provider Enumeration Date: 06/20/2011
Last Update Date: 06/14/2023

Medicare PECOS Information:

PECOS PAC ID: 4587830864
Enrollment ID: I20120109000543

Medical Identifiers

Medical identifiers for Davette Traci Williams such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265727192	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	207784 (North Carolina)	Secondary
363L00000X	Nurse Practitioner	5005190 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Novant Health Forsyth Medical Center	Winston-salem, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Novant Medical Group Inc	1153234893	1996

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. Davette Traci Williams allows following entities to bill medicare on her behalf.

Entity Name	Wake Forest Health Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477785756 PECOS PAC ID: 4183538895 Enrollment ID: O20031117000868

Entity Name	Novant Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692

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. Davette Traci 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
Davette Traci Williams, RN Po Box 60447, Charlotte, NC 28260-0447 Ph: (336) 564-4866	Davette Traci Williams, RN 1750 Kernersville Medical Pkwy, Kernersville, NC 27284-7146 Ph: (336) 802-2145

Reviews and Comments

Nurse Practitioner Nurses in Kernersville, NC

Mrs. Susan D. Sander, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1695 Kernersville Medical Pkwy, Kernersville, NC 27284 Phone: 336-515-5000 Fax: 336-515-5400
Lisa V Yang, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 420 W Mountain St, Kernersville, NC 27284 Phone: 336-993-1618 Fax: 336-993-5512
Mrs. Arian Minton Robinson, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 291 Broad St, Kernersville, NC 27284 Phone: 336-993-8181 Fax: 336-996-9538
Dr. Shauna Embler Jarrett, DNP, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 291 Broad St, Kernersville, NC 27284 Phone: 336-993-8181 Fax: 336-996-9538
Omobolawa Oreoluwa Olagoke, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1710 Kernersville Medical Pkwy Ste 201, Kernersville, NC 27284 Phone: 336-515-7440 Fax: 336-515-7449
Ashley Schmohl, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 900 Old Winston Rd Ste 204b, Kernersville, NC 27284 Phone: 336-992-4242
Dr. Meredith Paige Dunzweiler, AGNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 510 Pineview Dr, Kernersville, NC 27284 Phone: 336-996-8410 Fax: 336-996-8405

Davette Traci Williams, RN - Medicare Nurse Practitioner in Kernersville, NC