Keneil A Williams, in Paterson, NJ - Medicare Nurse Practitioner

Keneil A Williams, is a medicare enrolled "Nurse Practitioner - Primary Care" in Paterson, New Jersey. His current practice location is 268 Mcbride Ave, Building 2 Apt 3, Paterson, New Jersey. You can reach out to his office (for appointments etc.) via phone at (973) 413-5590.

Keneil A Williams is licensed to practice in New Jersey (license number AG09220094) 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 1407551286.

Contact Information

	Keneil A Williams,
	268 Mcbride Ave, Building 2 Apt 3, Paterson, NJ 07501
	(973) 413-5590
	Not Available

Map and Direction

Provider's Profile

Full Name	Keneil A Williams
Gender	Male
Speciality	Nurse Practitioner - Primary Care
Location	268 Mcbride Ave, Paterson, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407551286
Provider Enumeration Date: 04/03/2023
Last Update Date: 04/03/2023

Medicare PECOS Information:

PECOS PAC ID: 3779931571
Enrollment ID: I20231204002047

Medical Identifiers

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

Identifier	Type	State	Issuer
1407551286	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	AG09220094 (New Jersey)	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. Keneil A Williams allows following entities to bill medicare on his behalf.

Entity Name	Essex Gastro Associates, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114933926 PECOS PAC ID: 2668447939 Enrollment ID: O20040831000181

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. Keneil A 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
Keneil A Williams, 268 Mcbride Ave, Building 2 Apt 3, Paterson, NJ 07501 Ph: (973) 413-5590	Keneil A Williams, 268 Mcbride Ave, Building 2 Apt 3, Paterson, NJ 07501 Ph: (973) 413-5590

Reviews and Comments

Nurse Practitioner Nurses in Paterson, NJ

Susan Mugalu, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 703 Main St, Paterson, NJ 07503 Phone: 973-754-0000
Diane E Mcclure, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 703 Main St, Paterson, NJ 07503 Phone: 973-754-2555 Fax: 973-754-2567
Cynthia Dayrit -demetillo, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1040 Main St, Paterson, NJ 07503 Phone: 973-782-6615 Fax: 973-782-6618
Mrs. Kathleen Ann Connolly, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 393 Main St, Paterson, NJ 07501 Phone: 973-523-6220 Fax: 973-825-7201
Mr. Michael Pasquale, MSN, RN, APN-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 703 Main St, Paterson, NJ 07503 Phone: 973-754-3857
Nidia Ortega, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 416 Park Ave, Paterson, NJ 07504 Phone: 973-684-8138 Fax: 973-684-0032
Kassidy Katona, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 680 Broadway Ste 104, Paterson, NJ 07514 Phone: 973-239-9400

Keneil A Williams, - Medicare Nurse Practitioner in Paterson, NJ