Mrs Mary Smith Williams, FNP in Mayfield, KY - Medicare Nurse Practitioner

Mrs Mary Smith Williams, FNP is a medicare enrolled "Nurse Practitioner - Family" in Mayfield, Kentucky. Her current practice location is 1253 Paris Rd, Mayfield, Kentucky. You can reach out to her office (for appointments etc.) via phone at (270) 247-2455.

Mrs Mary Smith Williams is licensed to practice in Tennessee (license number 17932) 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 1356573463.

Contact Information

	Mrs Mary Smith Williams, FNP
	1253 Paris Rd, Mayfield, KY 42066-4989
	(270) 247-2455
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Mary Smith Williams
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1253 Paris Rd, Mayfield, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356573463
Provider Enumeration Date: 08/23/2009
Last Update Date: 05/13/2022

Medicare PECOS Information:

PECOS PAC ID: 3375853500
Enrollment ID: I20151030000612

Medical Identifiers

Medical identifiers for Mrs Mary Smith Williams such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356573463	NPI	-	NPPES
1356573463	Other	TN	SOLE PROPRIETOR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	95546 (Tennessee)	Secondary
163WG0000X	Registered Nurse - General Practice	A167618 (Iowa)	Secondary
363LF0000X	Nurse Practitioner - Family	17932 (Tennessee)	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 Mary Smith Williams allows following entities to bill medicare on her behalf.

Entity Name	Fast Pace Medical Clinic Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134452865 PECOS PAC ID: 5395881841 Enrollment ID: O20091014000112

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 Mary Smith 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
Mrs Mary Smith Williams, FNP 433 E Parkview St, Dyersburg, TN 38024-3111 Ph: (731) 287-7289	Mrs Mary Smith Williams, FNP 1253 Paris Rd, Mayfield, KY 42066-4989 Ph: (270) 247-2455

Reviews and Comments

Nurse Practitioner Nurses in Mayfield, KY

Mrs. Jennifer Kaye Wilkerson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1019 Paducah Rd Ste B, Mayfield, KY 42066 Phone: 270-804-7408 Fax: 866-985-7514
Mrs. Sarah Darnell, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1099 Medical Center Cir, Mayfield, KY 42066 Phone: 270-251-4156 Fax: 270-251-4377
Mrs. Jennifer L Carrico, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1111 Medical Center Cir, Mayfield, KY 42066 Phone: 270-251-4040 Fax: 855-430-0335
Sarah Wilson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1029 Medical Center Cir, Suite 306, Mayfield, KY 42066 Phone: 270-251-4575 Fax: 270-251-4577
Zenith Perpignani, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1253 Paris Rd, Mayfield, KY 42066 Phone: 270-247-2455
Mrs. Amanda Denise Kimbler, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 318 S 7th St, Mayfield, KY 42066 Phone: 270-251-3223 Fax: 270-251-3220
Megan Speed, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 Kings Dr, Mayfield, KY 42066 Phone: 270-804-7710 Fax: 270-804-7722

Mrs Mary Smith Williams, FNP - Medicare Nurse Practitioner in Mayfield, KY