Mr Pevin Williams, CRNA in Fayetteville, NC - Medicare Nurse Anesthetist, Certified Registered

Mr Pevin Williams, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fayetteville, North Carolina. His current practice location is 1638 Owen Dr, Fayetteville, North Carolina. You can reach out to his office (for appointments etc.) via phone at (910) 609-6440.

Mr Pevin Williams is licensed to practice in North Carolina (license number 149353) 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 1457458523.

Contact Information

	Mr Pevin Williams, CRNA
	1638 Owen Dr, Fayetteville, NC 28304-3424
	(910) 609-6440
	(910) 609-5365

Map and Direction

Provider's Profile

Full Name	Mr Pevin Williams
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	1638 Owen Dr, Fayetteville, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457458523
Provider Enumeration Date: 09/20/2006
Last Update Date: 02/14/2008

Medicare PECOS Information:

PECOS PAC ID: 5496754111
Enrollment ID: I20170724000747

Medical Identifiers

Medical identifiers for Mr Pevin Williams such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457458523	NPI	-	NPPES
8052601	Medicaid	NC
193259	Other	NC	MEDCOST

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	149353 (North Carolina)	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. Mr Pevin Williams allows following entities to bill medicare on his behalf.

Entity Name	Carolina Anesthesia Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699723791 PECOS PAC ID: 1456251057 Enrollment ID: O20040112000005

Entity Name	Medstream Anesthesia Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20140304001021

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 Pevin 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 Pevin Williams, CRNA Po Box 40908, Fayetteville, NC 28309-0908 Ph: (910) 609-6448	Mr Pevin Williams, CRNA 1638 Owen Dr, Fayetteville, NC 28304-3424 Ph: (910) 609-6440

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Fayetteville, NC

Mrs. Leesa Davis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-609-6440 Fax: 910-609-5365
Mrs. Miriah Catherine Adams, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-615-5132
Dr. Jonathan Ray Hall, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2053 Valleygate Dr Ste 102, Fayetteville, NC 28304 Phone: 910-323-3757
Edelrose Fortea Bacanto, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 805-509-7556
Miss Jennifer Shattuck, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-609-6440 Fax: 910-609-5365
Jennifer Myles, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-615-5132 Fax: 910-321-6236
Mrs. Debbie Morales, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-609-6440 Fax: 910-609-5365

Mr Pevin Williams, CRNA - Medicare Nurse Anesthetist, Certified Registered in Fayetteville, NC