| Michael R Williams, NP | |
|
1850 Chadwick Dr, Jackson, MS 39204-3404 | |
| (904) 805-1300 | |
| (904) 805-1302 |
| Full Name | Michael R Williams |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Location | 1850 Chadwick Dr, Jackson, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861436990 | NPI | - | NPPES |
| 202011213A | Other | MS | BLUE CROSS |
| 08221076 | Medicaid | MS | |
| 582446825 | Other | MS | CHAMPUS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | R754167 (Mississippi) | Primary |
| Entity Name | Big Horn Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891713533 PECOS PAC ID: 5092612796 Enrollment ID: O20031218000807 |
| Entity Name | Townsend Health Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447245857 PECOS PAC ID: 7214845817 Enrollment ID: O20031223000506 |
| Entity Name | Peak Health & Wellness, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073669461 PECOS PAC ID: 4082500889 Enrollment ID: O20040227000216 |
| Entity Name | Memorial Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184785099 PECOS PAC ID: 1951375849 Enrollment ID: O20040825001090 |
| Entity Name | Townsend Health Systems Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1447245857 PECOS PAC ID: 7214845817 Enrollment ID: O20061104000088 |
| Entity Name | Rosebud Community Hospital Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1194827451 PECOS PAC ID: 3375454168 Enrollment ID: O20061104000170 |
| Entity Name | Memorial Hospital Association |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1336119338 PECOS PAC ID: 1951375849 Enrollment ID: O20061104000636 |
| Entity Name | Stillwater Hospital Association Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1053488387 PECOS PAC ID: 6406889815 Enrollment ID: O20061104000684 |
| Entity Name | Pioneer Medical Center |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1003939190 PECOS PAC ID: 6507159514 Enrollment ID: O20160729000038 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael R Williams, NP Po Box 588, Canton, MS 39046-0588 Ph: (904) 805-1300 | Michael R Williams, NP 1850 Chadwick Dr, Jackson, MS 39204-3404 Ph: (904) 805-1300 |
Jennifer Nichols Foreman, A-GNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5657 | |
Mrs. Christian R Fortenberry, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 971 Lakeland Dr Ste 557, Jackson, MS 39216 Phone: 601-200-4560 Fax: 601-200-4580 | |
Susan B Patterson, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 501 Marshall St, Ste 104, Jackson, MS 39202 Phone: 601-969-6404 Fax: 601-973-4541 | |
Caryl P. Sumrall, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6311 Ridgewood Rd, Jackson, MS 39211 Phone: 601-952-8398 Fax: 833-972-5586 | |
Kathryn L. Navarro, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1850 Chadwick Dr, Jackson, MS 39204 Phone: 904-805-1300 Fax: 904-805-1302 | |
Mr. Bradford Steele Martin, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2500 North State Street, Department Of Orthopedics, Jackson, MS 39216 Phone: 601-815-3045 | |
Emily Brumfield, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 North State Street, Jackson, MS 39216 Phone: 601-984-5500 Fax: 601-984-5503 |