Shavon Williams, APRN - Medicare Nurse Practitioner in South Carolina, SC

Shavon Williams, APRN is a medicare enrolled "Nurse Practitioner - Family" in South Carolina, South Carolina. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Elite Patient Care Of South Carolina Pc and her current practice location is 611 East Hampton Street, Anderson, South Carolina, South Carolina. You can reach out to her office (for appointments etc.) via phone at (864) 226-5054.

Shavon Williams is licensed to practice in South Carolina (license number 23144) 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 1134777543.

Contact Information

Shavon Williams, APRN
611 East Hampton Street, Anderson,
South Carolina, SC 29624
(864) 226-5054
(864) 226-5643



Provider's Profile

Full NameShavon Williams
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location611 East Hampton Street, South Carolina, South Carolina
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:
  • Shavon Williams graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1134777543
  • Provider Enumeration Date: 08/28/2019
  • Last Update Date: 10/12/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8820320526
  • Enrollment ID: I20191030001101

Medical Identifiers

Medical identifiers for Shavon Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134777543NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 23144 (South Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Elite Patient Care Of South Carolina Pc1951672617118

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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. Shavon Williams allows following entities to bill medicare on her behalf.
Entity NameGreater Greenville Family Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053638940
PECOS PAC ID: 7113050212
Enrollment ID: O20100726000767

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Entity NameCh Specialty Services Sc Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275915522
PECOS PAC ID: 6608182993
Enrollment ID: O20150901002450

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Entity NameElite Patient Care Of South Carolina Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316477896
PECOS PAC ID: 1951672617
Enrollment ID: O20170731000866

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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. Shavon 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
Shavon Williams, APRN
611 East Hampton Street, Anderson,
South Carolina, SC 29624

Ph: () -
Shavon Williams, APRN
611 East Hampton Street, Anderson,
South Carolina, SC 29624

Ph: (864) 226-5054

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Nurse Practitioner Nurses in South Carolina, SC


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