Individual ProviderKasha WilliamsNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3417 North North 12th Avenue, Pensacola, FL 32503-4008(850) 432-7310PECOS EnrollmentBased on the most recent information from CMS, provider Kasha Williams is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 11:57 AM.Profile DetailsProvider ID1730838962Provider TypeIndividualFull NameWilliams, KashaCredentialAPRNGenderFemaleSole ProprietorNoEnumeration Date3/23/2022Last Updated3/23/2022Contact InformationPractice LocationPractice Address3417 North North 12th Avenue, Pensacola, FL 32503-4008Phone(850) 432-7310FaxUnlisted FaxMailing LocationMailing AddressPO Box 732892, Dallas, TX 75373-2892PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense11016998Florida