Mrs Jacqueline Lavinia Williams, NP - Medicare Nurse Practitioner in Norcross, GA

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Mrs Jacqueline Lavinia Williams, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Norcross, Georgia. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Personal Recovery Network Llc and her current practice location is 3300 Holcomb Bridge Rd, Sutie 110, Norcross, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 449-5161.

Mrs Jacqueline Lavinia Williams is licensed to practice in Georgia (license number RN261557) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1477092856.

Contact Information

Mrs Jacqueline Lavinia Williams, NP
3300 Holcomb Bridge Rd, Sutie 110,
Norcross, GA 30092-5404
(770) 449-5161
Not Available

Map and Direction




Provider's Profile

Full NameMrs Jacqueline Lavinia Williams
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location3300 Holcomb Bridge Rd, Norcross, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Jacqueline Lavinia Williams graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1477092856
  • Provider Enumeration Date: 02/17/2017
  • Last Update Date: 11/09/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8426327594
  • Enrollment ID: I20170705001328

Medical Identifiers

Medical identifiers for Mrs Jacqueline Lavinia Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477092856NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN261557 (Georgia)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health RN261557 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Personal Recovery Network Llc5092611384251

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. Mrs Jacqueline Lavinia Williams allows following entities to bill medicare on her behalf.
Entity NameInphynet Primary Care Physicians Southeast Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770521460
PECOS PAC ID: 3779497045
Enrollment ID: O20031119000600
Entity NameEmerginet, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164480869
PECOS PAC ID: 4082515853
Enrollment ID: O20040115000322
Entity NameEmerginet Henry, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811946627
PECOS PAC ID: 4981594900
Enrollment ID: O20040316000137
Entity NamePersonal Recovery Network Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881990869
PECOS PAC ID: 5092611384
Enrollment ID: O20120110000096
Entity NameWalker Lake Emergency Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437629342
PECOS PAC ID: 0840531919
Enrollment ID: O20190418001186
Entity NameBrightside Medical Of Michigan Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144800350
PECOS PAC ID: 9830562776
Enrollment ID: O20230404000719

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. Mrs Jacqueline Lavinia 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 AddressPractice Location Address
Mrs Jacqueline Lavinia Williams, NP
3300 Holcomb Bridge Rd, Sutie 110,
Norcross, GA 30092-5404

Ph: (770) 449-5161		Mrs Jacqueline Lavinia Williams, NP
3300 Holcomb Bridge Rd, Sutie 110,
Norcross, GA 30092-5404

Ph: (770) 449-5161

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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