Imiyah Williams, in Leesburg, GA - Medicare Nurse Practitioner

Imiyah Williams, is a medicare enrolled "Nurse Practitioner - Family" in Leesburg, Georgia. Her current practice location is 1224 Us Highway 19 S, Leesburg, Georgia. You can reach out to her office (for appointments etc.) via phone at (229) 312-7401.

Imiyah Williams is licensed to practice in Georgia (license number F11230513) 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 1164278362.

Contact Information

	Imiyah Williams,
	1224 Us Highway 19 S, Leesburg, GA 31763-4877
	(229) 312-7401
	Not Available

Map and Direction

Provider's Profile

Full Name	Imiyah Williams
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1224 Us Highway 19 S, Leesburg, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164278362
Provider Enumeration Date: 04/29/2024
Last Update Date: 04/29/2024

Medicare PECOS Information:

PECOS PAC ID: 2365979978
Enrollment ID: I20241220001103

Medical Identifiers

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

Identifier	Type	State	Issuer
1164278362	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F11230513 (Georgia)	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. Imiyah Williams allows following entities to bill medicare on her behalf.

Entity Name	Phoebe Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487899464 PECOS PAC ID: 8426112350 Enrollment ID: O20090121000583

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. Imiyah 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
Imiyah Williams, 1224 Us Highway 19 S, Leesburg, GA 31763-4877 Ph: () -	Imiyah Williams, 1224 Us Highway 19 S, Leesburg, GA 31763-4877 Ph: (229) 312-7401

Reviews and Comments

Nurse Practitioner Nurses in Leesburg, GA

Eddie Jean Truelove, MSN, APRN, BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1578 Us Highway 19 S Apt 113, Leesburg, GA 31763 Phone: 901-603-5890
Schvon Bussey, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 104 Pine Arbor Dr, Leesburg, GA 31763 Phone: 706-593-9263
Mrs. April Michelle Johnson, PNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1205 Us Highway 19 S, Leesburg, GA 31763 Phone: 229-759-7028
Stacie L Rolland, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1390 Us Highway 19 S, Leesburg, GA 31763 Phone: 229-312-7490 Fax: 229-312-7495
Gail Miranda Ricker, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1095 Us Highway 82 W, Leesburg, GA 31763 Phone: 229-800-8100 Fax: 229-800-8101
Sekeithia Sims Waters, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 152 Station Dr, Leesburg, GA 31763 Phone: 229-814-8426 Fax: 229-814-5026

Imiyah Williams, - Medicare Nurse Practitioner in Leesburg, GA