Lachisha Marie Williamson, in Rushville, IN - Medicare Nurse Practitioner

Lachisha Marie Williamson, is a medicare enrolled "Nurse Practitioner - Family" in Rushville, Indiana. Her current practice location is 201 Conrad Harcourt Way, Rushville, Indiana. You can reach out to her office (for appointments etc.) via phone at (765) 932-7591.

Lachisha Marie Williamson is licensed to practice in Indiana (license number 71009478A) 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 1366914426.

Contact Information

	Lachisha Marie Williamson,
	201 Conrad Harcourt Way, Rushville, IN 46173-1157
	(765) 932-7591
	(765) 932-7576

Map and Direction

Provider's Profile

Full Name	Lachisha Marie Williamson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	201 Conrad Harcourt Way, Rushville, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366914426
Provider Enumeration Date: 12/28/2018
Last Update Date: 01/27/2026

Medicare PECOS Information:

PECOS PAC ID: 2769713957
Enrollment ID: I20191021001115

Medical Identifiers

Medical identifiers for Lachisha Marie Williamson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366914426	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	71009478A (Indiana)	Primary
163WC0200X	Registered Nurse - Critical Care Medicine	RN.324735 (Ohio)	Secondary
363LF0000X	Nurse Practitioner - Family	APRN.CNP.024393 (Ohio)	Secondary

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. Lachisha Marie Williamson allows following entities to bill medicare on her behalf.

Entity Name	Fc Indiana Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225579063 PECOS PAC ID: 8820360001 Enrollment ID: O20170823001260

Entity Name	Fast Pace Medical Clinic Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649770769 PECOS PAC ID: 5395881841 Enrollment ID: O20200827001491

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. Lachisha Marie Williamson 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
Lachisha Marie Williamson, 1300 N Main St, Rushville, IN 46173-1198 Ph: (765) 932-4111	Lachisha Marie Williamson, 201 Conrad Harcourt Way, Rushville, IN 46173-1157 Ph: (765) 932-7591

Reviews and Comments

Nurse Practitioner Nurses in Rushville, IN

Samantha Lynn Bane, AGPCNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 201 Conrad Harcourt Way, Rushville, IN 46173 Phone: 765-932-7591 Fax: 765-932-7576
Jill Garreth, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 Conrad Harcourt Way, Rushville, IN 46173 Phone: 765-932-7591 Fax: 765-932-7576
Makenzie Renea Werner, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 323 Conrad Harcourt Way, Rushville, IN 46173 Phone: 765-932-7081 Fax: 765-932-7582
Pamela Laughlin, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 Conrad Harcourt Way, Suite A, Rushville, IN 46173 Phone: 756-342-8441
Amber Lynn Hill, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1300 N Main St, Rushville, IN 46173 Phone: 765-932-7439 Fax: 765-932-7410
Joyce Diane Darnell, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 509 Conrad Harcourt Way, Rushville, IN 46173 Phone: 765-932-3699 Fax: 765-932-4164

Lachisha Marie Williamson, - Medicare Nurse Practitioner in Rushville, IN