| Racine Williams, BSN | |
|
11300 Ne 2nd Ave, Miami Shores, FL 33161-6628 | |
| (954) 397-5012 | |
| Not Available |
| Full Name | Racine Williams |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 1 Years |
| Location | 11300 Ne 2nd Ave, Miami Shores, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104375641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LS0200X | Nurse Practitioner - School | RN9491826 (Florida) | Secondary |
| 163W00000X | Registered Nurse | RN9491826 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Inova Mount Vernon Hospital | Alexandria, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northstar Anesthesia Of Virginia, Llc | 6608268826 | 407 |
| Entity Name | Northstar Anesthesia of Virginia, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194488791 PECOS PAC ID: 6608268826 Enrollment ID: O20220120002585 |
| Mailing Address | Practice Location Address |
|---|---|
| Racine Williams, BSN 4551 Tara Cove Way, West Palm Beach, FL 33417-3004 Ph: Not Available | Racine Williams, BSN 11300 Ne 2nd Ave, Miami Shores, FL 33161-6628 Ph: (954) 397-5012 |
Noelle Christine Ice, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 11300 Ne 2nd Ave, Miami Shores, FL 33161 Phone: 305-899-3000 |
Brenda Nicole Altman, SRNA Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 10611 Ne 11th Ct, Miami Shores, FL 33138 Phone: 305-731-4821 |
Dylan Thomas Matson, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 11300 Ne 2nd Ave, Miami Shores, FL 33161 Phone: 305-899-3000 |
Myra Lakdawala, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 11300 Ne 2nd Ave, Miami Shores, FL 33161 Phone: 630-440-7245 |
Mr. Alvin Lirio Velasco, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 749 Ne 95 Street, Miami Shores, FL 33138 Phone: 305-757-6294 |
Chusa Sylvestre, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 10691 Ne 11th Ct, Miami Shores, FL 33138 Phone: 178-648-6481 |
Melissa Lagroue Pierre, Registered Nurse Medicare: May Accept Medicare Assignments Practice Location: 11300 Ne 2nd Ave, Miami Shores, FL 33161 Phone: 305-899-3246 |