Dr Jerry D Williams Ii, FNP-C in Holly Springs, MS

Dr Jerry D Williams Ii, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Holly Springs, Mississippi. He graduated from nursing school in 2017 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Holly Springs Family Medical, Llc and his current practice location is 130 W Van Dorn Ave, Holly Springs, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 274-3212.

Dr Jerry D Williams Ii is licensed to practice in Mississippi (license number 902114) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1073035168.

Contact Information

	Dr Jerry D Williams Ii, FNP-C
	130 W Van Dorn Ave, Holly Springs, MS 38635-2902
	(662) 274-3212
	(662) 274-3213

Map and Direction

Provider's Profile

Full Name	Dr Jerry D Williams Ii
Gender	Male
Speciality	Nurse Practitioner
Experience	8 Years
Location	130 W Van Dorn Ave, Holly Springs, Mississippi
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Jerry D Williams Ii graduated from nursing school in 2017

NPI Data:

NPI Number: 1073035168
Provider Enumeration Date: 07/11/2017
Last Update Date: 07/17/2022

Medicare PECOS Information:

PECOS PAC ID: 7618239682
Enrollment ID: I20200331003062

Medical Identifiers

Medical identifiers for Dr Jerry D Williams Ii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073035168	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	A005207 (Arkansas)	Secondary
363LF0000X	Nurse Practitioner - Family	902114 (Mississippi)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Holly Springs Family Medical, Llc	2668848581	2

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. Dr Jerry D Williams Ii allows following entities to bill medicare on his behalf.

Entity Name	Heartland Family Medical
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376188391 PECOS PAC ID: 1355770165 Enrollment ID: O20200330003512

Entity Name	Holly Springs Family Medical, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518692342 PECOS PAC ID: 2668848581 Enrollment ID: O20221018002553

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. Dr Jerry D Williams Ii 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
Dr Jerry D Williams Ii, FNP-C 130 W Van Dorn Ave, Holly Springs, MS 38635-2902 Ph: (662) 274-3212	Dr Jerry D Williams Ii, FNP-C 130 W Van Dorn Ave, Holly Springs, MS 38635-2902 Ph: (662) 274-3212

Reviews and Comments

Nurse Practitioner Nurses in Holly Springs, MS

Robyn Black Caldwell, DNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 550 South Craft Street, Holly Springs, MS 38635 Phone: 662-274-3218
Tracey Nicole Skelton, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 550 Craft St, Holly Springs, MS 38635 Phone: 662-274-3218
Stephanie M Hardin, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 538 J M Ash Dr, Holly Springs, MS 38635 Phone: 662-252-1599 Fax: 662-252-1986
Christle Chenille Stanton, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1700 Crescent Meadows Dr, Holly Springs, MS 38635 Phone: 662-252-2552
Nancy C Boatwright, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 538 J M Ash Dr, Holly Springs, MS 38635 Phone: 662-333-6933 Fax: 662-333-6931
Zelma Allen, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2369 Highway 311, Holly Springs, MS 38635 Phone: 901-488-7273

Dr Jerry D Williams Ii, FNP-C - Medicare Nurse Practitioner in Holly Springs, MS