Mrs Judith Kristie Williamson, RN NP in Encino, CA

Mrs Judith Kristie Williamson, RN NP is a medicare enrolled "Nurse Practitioner - Family" in Encino, California. Her current practice location is 4625 Libbit Ave, Encino, California. You can reach out to her office (for appointments etc.) via phone at (410) 871-4701.

Mrs Judith Kristie Williamson is licensed to practice in California (license number 8591) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1750167649.

Contact Information

	Mrs Judith Kristie Williamson, RN NP
	4625 Libbit Ave, Encino, CA 91436-2121
	(410) 871-4701
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Judith Kristie Williamson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4625 Libbit Ave, Encino, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750167649
Provider Enumeration Date: 09/06/2023
Last Update Date: 09/06/2023

Medicare PECOS Information:

PECOS PAC ID: 5092152090
Enrollment ID: I20240326003901

Medical Identifiers

Medical identifiers for Mrs Judith Kristie Williamson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750167649	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	8591 (California)	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. Mrs Judith Kristie Williamson allows following entities to bill medicare on her behalf.

Entity Name	Northeast Valley Health Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629079009 PECOS PAC ID: 3173517323 Enrollment ID: O20040412001067

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 Judith Kristie Williamson 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
Mrs Judith Kristie Williamson, RN NP 4625 Libbit Ave, Encino, CA 91436-2121 Ph: (310) 871-4701	Mrs Judith Kristie Williamson, RN NP 4625 Libbit Ave, Encino, CA 91436-2121 Ph: (410) 871-4701

Reviews and Comments

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Rome Diostonne Evangelista, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16530 Ventura Blvd Ste 400, Encino, CA 91436 Phone: 818-625-4814

Mrs Judith Kristie Williamson, RN NP - Medicare Nurse Practitioner in Encino, CA