Jesse Thomas Williams, MSN - FNP is a medicare enrolled "Family Medicine" in North Las Vegas, Nevada. His current practice location is
6900 N Pecos Rd, North Las Vegas, Nevada. You can reach out to his office (for appointments etc.) via phone at
(702) 791-9024.
Jesse Thomas Williams is licensed to practice in Nevada (license number 818827) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1619798840.
Provider's Profile
| Full Name | Jesse Thomas Williams |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 6900 N Pecos Rd, North Las Vegas, Nevada |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1619798840
- Provider Enumeration Date: 10/21/2024
- Last Update Date: 10/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 4284163346
- Enrollment ID: I20250120000229
Medical Identifiers
Medical identifiers for Jesse Thomas Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1619798840 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP2300X | Nurse Practitioner - Primary Care | 818827 (Nevada) | Secondary |
| 207Q00000X | Family Medicine | 818827 (Nevada) | 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. Jesse Thomas Williams allows following entities to bill medicare on his behalf.
| Entity Name | Body And Mind Health Partners |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730961160
PECOS PAC ID: 7113374307
Enrollment ID: O20231109001123 |
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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. Jesse Thomas 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 |
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Jesse Thomas Williams, MSN - FNP
6635 Boulder Hwy,
Las Vegas, NV 89122-7456
Ph: (715) 587-1853 | Jesse Thomas Williams, MSN - FNP
6900 N Pecos Rd,
North Las Vegas, NV 89086-4400
Ph: (702) 791-9024 |
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