Individual provider Active NPI

Erin L Williams-Leber, P A

  • Medical Physician Assistant
  • Butte, MT
National Provider Identifier
1548297880
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
319 Issued in MT
Practice address
300 W Mercury St
Butte, MT 59701-1652
Phone
(406) 723-1300
Fax
(406) 723-1335
NPI assigned
Jun 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 319 MT Primary

Addresses

Primary practice location

300 W Mercury St
Butte, MT 59701-1652

Mailing address

90 Meadow View Dr
Butte, MT 59701-7521
Phone (406) 723-1300

Other identifiers 2

IdentifierTypeStateIssuer
4300517MedicaidMT
94383OtherMTBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080213000181 MT Practitioner - Physician Assistant 6406939594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercury Street Medical Group PLLCGroup PAC ID 0345146411, 6 clinicians

Practice addresses (Care Compare)

300 W Mercury St
Butte, MT 59701-1652
Phone (406) 723-1300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
319MTMDClinical Psychologist
007499NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1548297880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 MEADOW VIEW DR",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597017521",
            "telephone_number": "406-723-1300",
            "fax_number": "406-723-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W MERCURY ST",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597011652",
            "telephone_number": "406-723-1300",
            "fax_number": "406-723-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS-LEBER",
        "first_name": "ERIN",
        "middle_name": "L",
        "credential": "P A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MT",
            "license": "319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4300517",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "94383",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Butte, MT

Sources for this page

Verify at the official NPI Registry.