Raven Shanise Williams, PA-C - Medicare Physician Assistant in West Memphis, AR

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Raven Shanise Williams, PA-C is a medicare enrolled "Physician Assistant" in West Memphis, Arkansas. Her current practice location is 900 N 7th St, West Memphis, Arkansas. You can reach out to her office (for appointments etc.) via phone at (870) 293-0594.

Raven Shanise Williams is licensed to practice in Arkansas (license number PA-1504) 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 1528624160.

Contact Information

Raven Shanise Williams, PA-C
900 N 7th St,
West Memphis, AR 72301-2001
(870) 293-0594
(870) 394-9476

Map and Direction




Provider's Profile

Full NameRaven Shanise Williams
GenderFemale
SpecialityPhysician Assistant
Location900 N 7th St, West Memphis, Arkansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1528624160
  • Provider Enumeration Date: 05/18/2019
  • Last Update Date: 06/24/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 4183035553
  • Enrollment ID: I20201117000573

Medical Identifiers

Medical identifiers for Raven Shanise Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528624160NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 8040 (Arizona)Secondary
363A00000XPhysician Assistant PA00656 (Mississippi)Secondary
363A00000XPhysician Assistant PA-1504 (Arkansas)Primary
363A00000XPhysician Assistant 6260 (Tennessee)Secondary

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. Raven Shanise Williams allows following entities to bill medicare on her behalf.
Entity NameWesley Community Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396910436
PECOS PAC ID: 9032264239
Enrollment ID: O20100407000432

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. Raven Shanise 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 AddressPractice Location Address
Raven Shanise Williams, PA-C
900 N 7th St,
West Memphis, AR 72301-2001

Ph: (870) 735-3842		Raven Shanise Williams, PA-C
900 N 7th St,
West Memphis, AR 72301-2001

Ph: (870) 293-0594

Reviews and Comments


Physician Assistant Nurses in West Memphis, AR

Kara Berry Matteson, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 900 N 7th St, West Memphis, AR 72301
Phone: 870-735-3842    Fax: 870-394-4872
Mrs. Misty L Shatley, P.A.-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 900 N 7th St, West Memphis, AR 72301
Phone: 870-735-3842    Fax: 360-462-6952
Sydnie Mcclinton, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 900 N 7th St, West Memphis, AR 72301
Phone: 870-292-3950    
Krishna Harikushna Patel, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 2100 N 7th St, West Memphis, AR 72301
Phone: 870-394-7800    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.