Mr Alfred E Williams, FNP-C is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in San Fidel, New Mexico. His current practice location is
Po Box 40, San Fidel, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(505) 552-5300.
Mr Alfred E Williams is licensed to practice in Louisiana (license number 209483) 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 1427564137.
Provider's Profile
| Full Name | Mr Alfred E Williams |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | Po Box 40, San Fidel, New Mexico |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1427564137
- Provider Enumeration Date: 12/18/2017
- Last Update Date: 09/23/2025
Medicare PECOS Information:
- PECOS PAC ID: 1759700206
- Enrollment ID: I20201119000420
Medical Identifiers
Medical identifiers for Mr Alfred E Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1427564137 | NPI | - | NPPES |
| 094013 | Other | LA | REGISTERED NURSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163WG0000X | Registered Nurse - General Practice | 094013 (Louisiana) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 209483 (Louisiana) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 209483 (Louisiana) | 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. Mr Alfred E Williams allows following entities to bill medicare on his behalf.
| Entity Name | Hulin Urgent Care Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699049262 PECOS PAC ID: 6800051285 Enrollment ID: O20120710000537 |
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| Entity Name | Carelon Medical Partners, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124443403 PECOS PAC ID: 9931332111 Enrollment ID: O20171016000403 |
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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. Mr Alfred E 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 |
Mr Alfred E Williams, FNP-C P.o. Box 40, San Fidel, NM 87049-0040 Ph: (505) 552-5300 | Mr Alfred E Williams, FNP-C Po Box 40, San Fidel, NM 87049-0040 Ph: (505) 552-5300 |
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