Raegan W Williams, PA in Atlanta, GA - Medicare Physician Assistant

Raegan W Williams, PA is a medicare enrolled "Physician Assistant - Medical" in Atlanta, Georgia. Her current practice location is 960 Johnson Ferry Rd, Ste 500, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 257-0006.

Raegan W Williams is licensed to practice in Georgia (license number 5803) 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 1396065983.

Contact Information

	Raegan W Williams, PA
	960 Johnson Ferry Rd, Ste 500, Atlanta, GA 30342-1631
	(404) 257-0006
	(404) 851-1316

Map and Direction

Provider's Profile

Full Name	Raegan W Williams
Gender	Female
Speciality	Physician Assistant - Medical
Location	960 Johnson Ferry Rd, Atlanta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396065983
Provider Enumeration Date: 06/04/2010
Last Update Date: 10/16/2020

Medicare PECOS Information:

PECOS PAC ID: 7810177524
Enrollment ID: I20110214000373

Medical Identifiers

Medical identifiers for Raegan W Williams such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396065983	NPI	-	NPPES
003138519B	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	5803 (Georgia)	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. Raegan W Williams allows following entities to bill medicare on her behalf.

Entity Name	Emory Specialty Associates, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407864168 PECOS PAC ID: 3476559782 Enrollment ID: O20061010000447

Entity Name	Northside Primary Care Professional Services,llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922397553 PECOS PAC ID: 9638343924 Enrollment ID: O20111123000206

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. Raegan W 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
Raegan W Williams, PA 960 Johnson Ferry Rd, Ste 500, Atlanta, GA 30342-1631 Ph: (404) 257-0006	Raegan W Williams, PA 960 Johnson Ferry Rd, Ste 500, Atlanta, GA 30342-1631 Ph: (404) 257-0006

Reviews and Comments

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Raegan W Williams, PA - Medicare Physician Assistant in Atlanta, GA