Nicole Renee Williams, OT in Richmond, VA - Medicare Occupational Therapist Provider

Nicole Renee Williams, OT is a medicare enrolled "Occupational Therapist" provider in Richmond, Virginia. Her current practice location is 2924 Brook Rd, Children's Hospital Credentialing Dept, Richmond, Virginia. You can reach out to her office (for appointments etc.) via phone at (804) 321-7474.

Nicole Renee Williams is licensed to practice in Virginia (license number 0119003362) 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 1700914421.

Contact Information

	Nicole Renee Williams, OT
	2924 Brook Rd, Children's Hospital Credentialing Dept, Richmond, VA 23220-1215
	(804) 321-7474
	(804) 321-2728

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole Renee Williams
Gender	Female
Speciality	Occupational Therapist
Location	2924 Brook Rd, Richmond, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700914421
Provider Enumeration Date: 03/02/2007
Last Update Date: 10/02/2017

Medicare PECOS Information:

PECOS PAC ID: 9638435050
Enrollment ID: I20171116003264

Medical Identifiers

Medical identifiers for Nicole Renee Williams such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700914421	NPI	-	NPPES
008940771	Medicaid	VA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	0119003362 (Virginia)	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. Nicole Renee Williams allows following entities to bill medicare on her behalf.

Provider Name	Fox Rehabilitation Services Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1609814755 PECOS PAC ID: 1355347410 Enrollment ID: O20091019000338

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. Nicole Renee 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
Nicole Renee Williams, OT 2924 Brook Rd, Children's Hospital Credentialing Dept, Richmond, VA 23220-1215 Ph: (804) 321-7474	Nicole Renee Williams, OT 2924 Brook Rd, Children's Hospital Credentialing Dept, Richmond, VA 23220-1215 Ph: (804) 321-7474

Reviews and Comments

Occupational Therapist in Richmond, VA

Tidewater Physical Therapy, Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4831 S Laburnum Ave, Richmond, VA 23231 Phone: 804-222-0746 Fax: 804-222-0728
Mrs. Ashley Fariss Stewart, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 4840 Waller Rd, Richmond, VA 23230 Phone: 804-893-5010
Mrs. Megan Elise Evelyn Breakall, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3600 Saunders Ave, Richmond, VA 23227 Phone: 804-358-1874
Mrs. Kimberly Jo Powell, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1201 Broad Rock Blvd, Richmond, VA 23249 Phone: 804-675-5000 Fax: 804-675-5551
Mary Griessbach, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1201 Broad Rock Blvd, Richmond, VA 23249 Phone: 804-675-5000
Mr. James Lyle Wilkerson, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 514 N 24th St, Richmond, VA 23223 Phone: 804-874-4437
Eileen Catherine Shelp, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2000 Wilkes Ridge Dr, Richmond, VA 23233 Phone: 804-877-4000

Nicole Renee Williams, OT - Medicare Occupational Therapist in Richmond, VA