Ms Jennifer Waters Williams, PHD in Rocky Mount, NC

Ms Jennifer Waters Williams, PHD is a medicare enrolled "Psychologist - Clinical" provider in Rocky Mount, North Carolina. Her current practice location is 878 Country Club Rd, Rocky Mount, North Carolina. You can reach out to her office (for appointments etc.) via phone at (252) 314-7021.

Ms Jennifer Waters Williams is licensed to practice in North Carolina (license number 4038) 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 1275641664.

Contact Information

	Ms Jennifer Waters Williams, PHD
	878 Country Club Rd, Rocky Mount, NC 27804-1707
	(252) 314-7021
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Jennifer Waters Williams
Gender	Female
Speciality	Psychologist - Clinical
Location	878 Country Club Rd, Rocky Mount, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275641664
Provider Enumeration Date: 08/27/2006
Last Update Date: 01/19/2021

Medicare PECOS Information:

PECOS PAC ID: 1850431040
Enrollment ID: I20091218000465

Medical Identifiers

Medical identifiers for Ms Jennifer Waters Williams such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275641664	NPI	-	NPPES
1427010578	Other	NC	MEDICARE
2826021	Other	NC	MEDICARE PTAN
561396133	Other	NC	MEDCOST
561396133	Other	NC	AETNA
015WA	Other	NC	BCBS OF NC
561396133	Other	NC	TRICARE
561396133	Other	NC	CIGNA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	4038 (North Carolina)	Secondary
103TC0700X	Psychologist - Clinical	1388 (North Carolina)	Secondary
103TC0700X	Psychologist - Clinical	4038 (North Carolina)	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. Ms Jennifer Waters Williams allows following entities to bill medicare on her behalf.

Entity Name	Wakemed
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194907717 PECOS PAC ID: 7315937612 Enrollment ID: O20040722000418

Entity Name	Monarch
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801116405 PECOS PAC ID: 0244273852 Enrollment ID: O20050728000103

Entity Name	Wakemed Specialists Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588227839 PECOS PAC ID: 2466788377 Enrollment ID: O20190731000815

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. Ms Jennifer Waters 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
Ms Jennifer Waters Williams, PHD 112 Ashmore Lane, Rocky Mount, NC 27804-1774 Ph: (252) 451-1171	Ms Jennifer Waters Williams, PHD 878 Country Club Rd, Rocky Mount, NC 27804-1707 Ph: (252) 314-7021

Reviews and Comments

Psychologist in Rocky Mount, NC

Dr. Rosanna Lora, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 90 Guardian Ct, Rocky Mount, NC 27804 Phone: 252-212-3350 Fax: 252-212-0322
Ms. Charlotte Reeves Walyko, MA, LPA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 854 Country Club Rd, Rocky Mount, NC 27804 Phone: 252-972-9903 Fax: 252-451-1540
Mr. Le'marus Perez Alston, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3400 N Wesleyan Blvd, Rocky Mount, NC 27804 Phone: 252-567-4922
Ms. Lori Dawn Chambers, M.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 141 Storage Rd, Rocky Mount, NC 27804 Phone: 252-443-0318 Fax: 252-443-5079
Mrs. Carolyn Robards Eggers, M.A., C.A.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 852 Country Club Rd, Rocky Mount, NC 27804 Phone: 252-443-4401
Edwina B. Garrett, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 107 S.e. Main Street, Suite 410, Rocky Mount, NC 27801 Phone: 252-442-5771 Fax: 252-442-5780

Ms Jennifer Waters Williams, PHD - Medicare Psychologist in Rocky Mount, NC