| Riki Jo Williamson, | |
|
402 N Kaufman St, Linden, TX 75563-5234 | |
| (903) 756-5581 | |
| (903) 756-5005 |
| Full Name | Riki Jo Williamson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 402 N Kaufman St, Linden, Texas |
| 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 |
|---|---|---|---|
| 1407611478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1153075 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Onesource Home Care Inc | Longview, TX | Home health agency |
| Christus St Michael Health System | Texarkana, TX | Hospital |
| Christus Good Shepherd Medical Center | Longview, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Phynet, Inc. | 8527038298 | 16 |
| Entity Name | Phynet Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144245176 PECOS PAC ID: 8527038298 Enrollment ID: O20040729000674 |
| Mailing Address | Practice Location Address |
|---|---|
| Riki Jo Williamson, 4002 Technology Ctr, Longview, TX 75605-2697 Ph: (903) 247-0484 | Riki Jo Williamson, 402 N Kaufman St, Linden, TX 75563-5234 Ph: (903) 756-5581 |
Chrystal G Brown, FNP-C, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 402 N Kaufman St # 5234, Linden, TX 75563 Phone: 903-756-5581 | |
Ruth Margaret Rochat, APRN BC-ADM Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 402 N Kaufman St, Linden, TX 75563 Phone: 903-756-5581 Fax: 903-756-5005 |