Mr Sugi Utama Williams, MSN, FNP-C, FNP-BC in Palm Springs, CA

Mr Sugi Utama Williams, MSN, FNP-C, FNP-BC is a medicare enrolled "Nurse Practitioner" in Palm Springs, California. His current practice location is 191 N Sunrise Way, Palm Springs, California. You can reach out to his office (for appointments etc.) via phone at (760) 778-2210.

Mr Sugi Utama Williams is licensed to practice in California (license number NP95020735) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1336876754.

Contact Information

	Mr Sugi Utama Williams, MSN, FNP-C, FNP-BC
	191 N Sunrise Way, Palm Springs, CA 92262-5201
	(760) 778-2210
	(760) 320-8241

Map and Direction

Provider's Profile

Full Name	Mr Sugi Utama Williams
Gender	Male
Speciality	Nurse Practitioner
Location	191 N Sunrise Way, Palm Springs, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336876754
Provider Enumeration Date: 08/05/2022
Last Update Date: 11/22/2025

Medicare PECOS Information:

PECOS PAC ID: 3779941257
Enrollment ID: I20230614003705

Medical Identifiers

Medical identifiers for Mr Sugi Utama Williams such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336876754	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	NP95020735 (California)	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. Mr Sugi Utama Williams allows following entities to bill medicare on his behalf.

Entity Name	San Joaquin Emergency Medical Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588960413 PECOS PAC ID: 6305022047 Enrollment ID: O20110516000103

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. Mr Sugi Utama 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
Mr Sugi Utama Williams, MSN, FNP-C, FNP-BC 191 N Sunrise Way, Palm Springs, CA 92262-5201 Ph: (760) 778-2210	Mr Sugi Utama Williams, MSN, FNP-C, FNP-BC 191 N Sunrise Way, Palm Springs, CA 92262-5201 Ph: (760) 778-2210

Reviews and Comments

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Mr Sugi Utama Williams, MSN, FNP-C, FNP-BC - Medicare Nurse Practitioner in Palm Springs, CA