Jacqualine Williams, in Anderson, IN - Medicare Nurse Practitioner

Jacqualine Williams, is a medicare enrolled "Nurse Practitioner" in Anderson, Indiana. She graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Open Door Health Services Inc and her current practice location is 3125 S Scatterfield Rd, Anderson, Indiana. You can reach out to her office (for appointments etc.) via phone at (765) 298-4903.

Jacqualine Williams is licensed to practice in Indiana (license number 71012183A) 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 1033863857.

Contact Information

	Jacqualine Williams,
	3125 S Scatterfield Rd, Anderson, IN 46013-1802
	(765) 298-4903
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacqualine Williams
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	3125 S Scatterfield Rd, Anderson, Indiana
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:

Jacqualine Williams graduated from nursing school in 2021

NPI Data:

NPI Number: 1033863857
Provider Enumeration Date: 02/10/2022
Last Update Date: 01/06/2026

Medicare PECOS Information:

PECOS PAC ID: 8921492836
Enrollment ID: I20220218000436

Medical Identifiers

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

Identifier	Type	State	Issuer
1033863857	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	71012183A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Open Door Health Services Inc	5890696603	32

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. Jacqualine Williams allows following entities to bill medicare on her behalf.

Entity Name	Indiana University Health Ball Memorial Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235455544 PECOS PAC ID: 9537072640 Enrollment ID: O20031110000505

Entity Name	Open Door Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770510240 PECOS PAC ID: 5890696603 Enrollment ID: O20040115000592

Entity Name	Pic Indiana Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942546890 PECOS PAC ID: 3476790239 Enrollment ID: O20130515000110

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. Jacqualine 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
Jacqualine Williams, 6626 E 75th St Ste 500, Indianapolis, IN 46250-2890 Ph: () -	Jacqualine Williams, 3125 S Scatterfield Rd, Anderson, IN 46013-1802 Ph: (765) 298-4903

Reviews and Comments

Nurse Practitioner Nurses in Anderson, IN

Nora D Mitiche, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1030 S Scatterfield Rd, Anderson, IN 46012 Phone: 765-644-5025 Fax: 765-643-4534
Mrs. Christina Lynn Bennett, CNM Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1931 Brown St, Anderson, IN 46016 Phone: 765-646-8247
Heather Lane, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1547 Ohio Ave, Anderson, IN 46016 Phone: 765-641-7499
Francisca Moura-souchet, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1728 Williams Way E, Anderson, IN 46011 Phone: 765-617-8398
Kaitlin Walden, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2009 Brown St, Anderson, IN 46016 Phone: 317-574-1254 Fax: 317-674-0060
Stephanie Sciaudone, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 215 W 19th St, Anderson, IN 46016 Phone: 765-393-3891 Fax: 765-393-3892

Jacqualine Williams, - Medicare Nurse Practitioner in Anderson, IN