Nichole Lasha Williams, FNP in Waldorf, MD - Medicare Nurse Practitioner

Nichole Lasha Williams, FNP is a medicare enrolled "Nurse Practitioner - Family" in Waldorf, Maryland. She graduated from nursing school in 2018 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mdics At Civista Llc and her current practice location is 3460 Old Washington Rd Ste 203a, Waldorf, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 638-9670.

Nichole Lasha Williams is licensed to practice in South Carolina (license number 22529) 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 1750852554.

Contact Information

	Nichole Lasha Williams, FNP
	3460 Old Washington Rd Ste 203a, Waldorf, MD 20602-3243
	(301) 638-9670
	Not Available

Map and Direction

Provider's Profile

Full Name	Nichole Lasha Williams
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	3460 Old Washington Rd Ste 203a, Waldorf, Maryland
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nichole Lasha Williams graduated from nursing school in 2018

NPI Data:

NPI Number: 1750852554
Provider Enumeration Date: 12/06/2018
Last Update Date: 03/06/2025

Medicare PECOS Information:

PECOS PAC ID: 1456680750
Enrollment ID: I20230711003588

Medical Identifiers

Medical identifiers for Nichole Lasha Williams such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750852554	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	22529 (South Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of Md Charles Regional Medical Center	La plata, MD	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mdics At Civista Llc	8325200793	25

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. Nichole Lasha Williams allows following entities to bill medicare on her behalf.

Entity Name	Chesapeake&washington Heart Care, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669585113 PECOS PAC ID: 5496731440 Enrollment ID: O20040629000804

Entity Name	Mdics At Civista Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225323496 PECOS PAC ID: 8325200793 Enrollment ID: O20120501000281

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. Nichole Lasha 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
Nichole Lasha Williams, FNP 9612 Stuart Ln, Clinton, MD 20735-3376 Ph: (843) 260-2748	Nichole Lasha Williams, FNP 3460 Old Washington Rd Ste 203a, Waldorf, MD 20602-3243 Ph: (301) 638-9670

Reviews and Comments

Nurse Practitioner Nurses in Waldorf, MD

Mr. Moenil Patel, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10 Saint Patricks Dr, Waldorf, MD 20603 Phone: 301-373-7900 Fax: 301-373-6900
Ms. Gloria Alice Johnston, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 50 Post Office Rd Ste 302, Waldorf, MD 20602 Phone: 240-353-2516 Fax: 240-448-8893
Vanessa Wansel, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2193 Everett Ct, Waldorf, MD 20601 Phone: 301-535-8457
Emily Rosa Odenwald, MSN, WHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 173 Saint Patricks Dr Ste 104, Waldorf, MD 20603 Phone: 888-731-8994
Ayanna Riley, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11610 Lewisham Pl Apt 305, Waldorf, MD 20602 Phone: 201-667-8892
Dawnette Gaylene Campbell, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10542 Black Pine Ln, Waldorf, MD 20603 Phone: 301-537-3642
Queen K Iji, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3070 Crain Hwy, Waldorf, MD 20601 Phone: 301-645-3556

Nichole Lasha Williams, FNP - Medicare Nurse Practitioner in Waldorf, MD