Penne Williams, LCSW in Lakeland, FL - Medicare Social Worker Provider

Penne Williams, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Lakeland, Florida. Her current practice location is 3655 Innovation Dr, Lakeland, Florida. You can reach out to her office (for appointments etc.) via phone at (638) 225-7601.

Penne Williams is licensed to practice in Florida (license number SW2237) 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 1619550076.

Contact Information

	Penne Williams, LCSW
	3655 Innovation Dr, Lakeland, FL 33812-4106
	(638) 225-7601
	(866) 619-5995

Map and Direction

Healthcare Provider's Profile

Full Name	Penne Williams
Gender	Female
Speciality	Social Worker - Clinical
Location	3655 Innovation Dr, Lakeland, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619550076
Provider Enumeration Date: 05/04/2021
Last Update Date: 05/04/2021

Medicare PECOS Information:

PECOS PAC ID: 8820499767
Enrollment ID: I20210629002120

Medical Identifiers

Medical identifiers for Penne Williams such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619550076	NPI	-	NPPES
SW2237	Other	FL	LCSW

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	SW2237 (Florida)	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. Penne Williams allows following entities to bill medicare on her behalf.

Entity Name	Internal Medicine Specialists Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760600142 PECOS PAC ID: 4981785094 Enrollment ID: O20080115000437

Entity Name	Conviva Medical Center Management, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649324278 PECOS PAC ID: 4284717422 Enrollment ID: O20080212000415

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. Penne 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
Penne Williams, LCSW 4700 Exploration Ave, Lakeland, FL 33812-3319 Ph: (888) 414-1413	Penne Williams, LCSW 3655 Innovation Dr, Lakeland, FL 33812-4106 Ph: (638) 225-7601

Reviews and Comments

Social Worker in Lakeland, FL

Mrs. Heather Lynn Prociuk, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1140 State Road 540a, Lakeland, FL 33813 Phone: 863-608-0583
Erin Walley Rivera, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5245 N Socrum Loop Rd, Lakeland, FL 33809 Phone: 863-859-1446
Laura Braswell, M.DIV LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2625 Hollingsworth Hill Ave, Lakeland, FL 33803 Phone: 863-660-5243
Ms. Khalilah Garrett, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4541 Breccia Ln, Lakeland, FL 33811 Phone: 804-564-1308
Michelle Means, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1825 Gilmore Ave, Lakeland, FL 33805 Phone: 863-519-0575 Fax: 863-582-9251
Amanda Gillespie, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3020 S Florida Ave, Lakeland, FL 33803 Phone: 813-290-8560
Ruth Kimmons, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6736 Lunn Rd, Lakeland, FL 33811 Phone: 863-397-4122

Penne Williams, LCSW - Medicare Clinical Social Worker in Lakeland, FL