Ms Schulundria Schantelle Williams, - Medicare Certified Registered Nurse Anesthetist (crna) in Tyler, TX

Ms Schulundria Schantelle Williams, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Tyler, Texas. She graduated from nursing school in 2003 and has 21 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Christus Good Shepherd Medical Center, Mother Frances Hospital Regional Health Care Center and her current practice location is 800 E Dawson St, Tyler, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 593-8441.

Ms Schulundria Schantelle Williams is licensed to practice in Texas (license number 642834) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1205821055.

Contact Information

Ms Schulundria Schantelle Williams,
800 E Dawson St,
Tyler, TX 75701-2036
(903) 593-8441
Not Available



Provider's Profile

Full NameMs Schulundria Schantelle Williams
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience21 Years
Location800 E Dawson St, Tyler, Texas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Schulundria Schantelle Williams graduated from nursing school in 2003
  NPI Data:
  • NPI Number: 1205821055
  • Provider Enumeration Date: 09/19/2005
  • Last Update Date: 12/18/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 6901889021
  • Enrollment ID: I20040722000633

Medical Identifiers

Medical identifiers for Ms Schulundria Schantelle Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205821055NPI-NPPES
75-1976930-005OtherTXTRICARE
366204YSE3OtherTXMEDICARE
174283506MedicaidTX
P01912522OtherTXMEDICARE RAIL ROAD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 642834 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Christus Mother Frances HospitalTyler, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Christus Good Shepherd Medical Center377956554438
Mother Frances Hospital Regional Health Care Center9234025636121

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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 Schulundria Schantelle Williams allows following entities to bill medicare on her behalf.
Entity NameUniversity Of Texas Health Science Center At Tyler-facility-physician
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063400778
PECOS PAC ID: 4981699220
Enrollment ID: O20040416001048

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Entity NameMother Frances Hospital Jacksonville
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952306672
PECOS PAC ID: 5597751024
Enrollment ID: O20040421001092

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Entity NameChristus Good Shepherd Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760908404
PECOS PAC ID: 3779565544
Enrollment ID: O20040604000400

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Entity NameMother Frances Hospital Regional Health Care Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679578439
PECOS PAC ID: 9234025636
Enrollment ID: O20040610001042

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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. Ms Schulundria Schantelle 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 AddressPractice Location Address
Ms Schulundria Schantelle Williams,
2323 Pineburr Rd,
Tyler, TX 75702-7733

Ph: (903) 592-1825
Ms Schulundria Schantelle Williams,
800 E Dawson St,
Tyler, TX 75701-2036

Ph: (903) 593-8441

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Nurse Anesthetist, Certified Registered Nurses in Tyler, TX

Mrs. Glenda R Sealey, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 1424 East Front, Tyler, TX 75702
Phone: 903-595-4144    Fax: 903-596-7541
John Glynn Jeansonne, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 S Beckham Ave, Tyler, TX 75701
Phone: 903-526-1068    Fax: 903-593-4290
Jeffrey Manglicmot, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 800 E Dawson St, Tyler, TX 75701
Phone: 903-531-4522    
Harold Richie Bandalan, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 S Beckham Ave, Tyler, TX 75701
Phone: 903-526-1068    Fax: 903-593-4290
Jeffrey David Barker, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 S Beckham Ave, Tyler, TX 75701
Phone: 903-597-0351    
Gregory Mallett,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 800 E Dawson St, Tyler, TX 75701
Phone: 903-606-4522    
Cara L Dewolfe, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 800 E Dawson St, Tyler, TX 75701
Phone: 903-593-8441    

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