Mark Allen Williams, PMHNP-BC in Mesa, AZ - Medicare Nurse Practitioner

Mark Allen Williams, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Mesa, Arizona. He graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Denova Collaborative Health, Llc and his current practice location is 2204 S Dobson Rd Ste 102, Mesa, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 230-7373.

Mark Allen Williams is licensed to practice in Arizona (license number AP-263407) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1023786225.

Contact Information

	Mark Allen Williams, PMHNP-BC
	2204 S Dobson Rd Ste 102, Mesa, AZ 85202-6457
	(602) 230-7373
	(480) 628-8577

Map and Direction

Provider's Profile

Full Name	Mark Allen Williams
Gender	Male
Speciality	Nurse Practitioner
Experience	3 Years
Location	2204 S Dobson Rd Ste 102, Mesa, Arizona
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mark Allen Williams graduated from nursing school in 2021

NPI Data:

NPI Number: 1023786225
Provider Enumeration Date: 09/01/2021
Last Update Date: 11/30/2023

Medicare PECOS Information:

PECOS PAC ID: 0547658775
Enrollment ID: I20211020003103

Medical Identifiers

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

Identifier	Type	State	Issuer
1023786225	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	RNP263407 (Arizona)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP-263407 (Arizona)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Denova Collaborative Health, Llc	2466437736	70

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. Mark Allen Williams allows following entities to bill medicare on his behalf.

Entity Name	Denova Collaborative Health, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609300854 PECOS PAC ID: 2466437736 Enrollment ID: O20040621001542

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. Mark Allen 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
Mark Allen Williams, PMHNP-BC 3101 N Central Ave Ste 550, Phoenix, AZ 85012-2635 Ph: (602) 230-7373	Mark Allen Williams, PMHNP-BC 2204 S Dobson Rd Ste 102, Mesa, AZ 85202-6457 Ph: (602) 230-7373

Reviews and Comments

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Mark Allen Williams, PMHNP-BC - Medicare Nurse Practitioner in Mesa, AZ