Mr Timmy Owen Williams, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Grove Hill, Alabama. He graduated from nursing school in 1990 and has 35 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Cahaba Medical Care Foundation, Vaughan Regional Anesthesia Llc and his current practice location is
Jackson Street, Grove Hill, Alabama. You can reach out to his office (for appointments etc.) via phone at
(251) 275-3191.
Mr Timmy Owen Williams is licensed to practice in Alabama (license number 1-052962) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1578657268.
Provider's Profile
| Full Name | Mr Timmy Owen Williams |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 35 Years |
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| Location | Jackson Street, Grove Hill, Alabama |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mr Timmy Owen Williams graduated from nursing school in 1990
NPI Data:
- NPI Number: 1578657268
- Provider Enumeration Date: 10/03/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 1557334109
- Enrollment ID: I20130530000724
Medical Identifiers
Medical identifiers for Mr Timmy Owen Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1578657268 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 367500000X | Nurse Anesthetist, Certified Registered | 1-052962 (Alabama) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Cahaba Medical Care Foundation | 1355597923 | 84 |
| Vaughan Regional Anesthesia Llc | 2062830128 | 9 |
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 Timmy Owen Williams allows following entities to bill medicare on his behalf.
| Entity Name | Vaughan Regional Medical Center Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114088846 PECOS PAC ID: 0143134171 Enrollment ID: O20031114000230 |
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| Entity Name | Cahaba Medical Care Foundation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316201809 PECOS PAC ID: 1355597923 Enrollment ID: O20121120000238 |
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| Entity Name | Vaughan Regional Anesthesia Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1639792153 PECOS PAC ID: 2062830128 Enrollment ID: O20200922002054 |
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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 Timmy Owen 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 Timmy Owen Williams, CRNA 571 County Rd. 212, Valley Grande, AL 36701-3709 Ph: (334) 877-1781 | Mr Timmy Owen Williams, CRNA Jackson Street, Grove Hill, AL 36451 Ph: (251) 275-3191 |
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