Riki Jo Williamson, is a medicare enrolled "Nurse Practitioner - Family" in Linden, Texas. Her current practice location is
402 N Kaufman St, Linden, Texas. You can reach out to her office (for appointments etc.) via phone at
(903) 756-5581.
Riki Jo Williamson is licensed to practice in Texas (license number 1153075) 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 1407611478.
Provider's Profile
| Full Name | Riki Jo Williamson |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 402 N Kaufman St, Linden, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1407611478
- Provider Enumeration Date: 02/19/2024
- Last Update Date: 02/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 1355786203
- Enrollment ID: I20240229004480
Medical Identifiers
Medical identifiers for Riki Jo Williamson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1407611478 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 1153075 (Texas) | 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. Riki Jo Williamson allows following entities to bill medicare on her behalf.
| Entity Name | Phynet Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144245176
PECOS PAC ID: 8527038298
Enrollment ID: O20040729000674 |
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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. Riki Jo Williamson 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 |
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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 |
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