Nicole Genevieve Williams, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" in Colton, California. She graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Psychiatry. She is a member of the group practice Cep America - Psychiatry Pc, Saint Agnes Medical Center, Pih Health Physicians, Rideout Memorial Hospital and her current practice location is
400 N Pepper Ave, Colton, California. You can reach out to her office (for appointments etc.) via phone at
(909) 580-2186.
Nicole Genevieve Williams is licensed to practice in California (license number A173753) 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 1083936660.
Provider's Profile
| Full Name | Nicole Genevieve Williams |
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| Gender | Female |
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| Speciality | Psychiatry |
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| Experience | 8 Years |
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| Location | 400 N Pepper Ave, Colton, California |
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| 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:
- Nicole Genevieve Williams graduated from nursing school in 2018
NPI Data:
- NPI Number: 1083936660
- Provider Enumeration Date: 02/23/2010
- Last Update Date: 06/22/2022
Medicare PECOS Information:
- PECOS PAC ID: 7416341177
- Enrollment ID: I20220223002612
Medical Identifiers
Medical identifiers for Nicole Genevieve Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1083936660 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 18786 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A173753 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Cep America - Psychiatry Pc | 0244522159 | 83 |
| Saint Agnes Medical Center | 3971409335 | 40 |
| Pih Health Physicians | 8426951328 | 509 |
| Rideout Memorial Hospital | 9234036088 | 84 |
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. Nicole Genevieve Williams allows following entities to bill medicare on her behalf.
| Entity Name | Southern California Permanente Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
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| Entity Name | Pih Health Physicians |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609233899 PECOS PAC ID: 8426951328 Enrollment ID: O20040128001177 |
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| Entity Name | Rideout Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720088354 PECOS PAC ID: 9234036088 Enrollment ID: O20040610000983 |
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| Entity Name | Saint Agnes Medical Center |
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| Entity Type | Part B Supplier - Hospital Department(s) |
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| Entity Identifiers | NPI Number: 1205845567 PECOS PAC ID: 3971409335 Enrollment ID: O20070824000478 |
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| Entity Name | Cep America - Psychiatry Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538757232 PECOS PAC ID: 0244522159 Enrollment ID: O20160713002860 |
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| Entity Name | Mental Wellness Partners |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972096295 PECOS PAC ID: 0749531259 Enrollment ID: O20180921003169 |
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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. Nicole Genevieve 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 |
Nicole Genevieve Williams, MD 400 N Pepper Ave, Colton, CA 92324-1801 Ph: (909) 580-2186 | Nicole Genevieve Williams, MD 400 N Pepper Ave, Colton, CA 92324-1801 Ph: (909) 580-2186 |
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