William Blake Williams, LCSW in Wynne, AR - Medicare Social Worker Provider

William Blake Williams, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Wynne, Arkansas. His current practice location is 204 Mississippi St S, Wynne, Arkansas. You can reach out to his office (for appointments etc.) via phone at (870) 208-8499.

William Blake Williams is licensed to practice in Arkansas (license number 6203-C) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1679894737.

Contact Information

	William Blake Williams, LCSW
	204 Mississippi St S, Wynne, AR 72396-3025
	(870) 208-8499
	(870) 208-8044

Map and Direction

Healthcare Provider's Profile

Full Name	William Blake Williams
Gender	Male
Speciality	Social Worker - Clinical
Location	204 Mississippi St S, Wynne, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679894737
Provider Enumeration Date: 06/11/2010
Last Update Date: 10/01/2024

Medicare PECOS Information:

PECOS PAC ID: 1658803846
Enrollment ID: I20241012000375

Medical Identifiers

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

Identifier	Type	State	Issuer
1679894737	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	6203-C (Arkansas)	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. William Blake Williams allows following entities to bill medicare on his behalf.

Entity Name	Changes Behavioral Health, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114260486 PECOS PAC ID: 6103149653 Enrollment ID: O20150108001118

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. William Blake 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
William Blake Williams, LCSW 204 Mississippi St S, Wynne, AR 72396-3025 Ph: (870) 208-8499	William Blake Williams, LCSW 204 Mississippi St S, Wynne, AR 72396-3025 Ph: (870) 208-8499

Reviews and Comments

Social Worker in Wynne, AR

Rylee Ratton, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 204 Mississippi St S, Wynne, AR 72396 Phone: 870-208-8499 Fax: 870-587-0576
Brian D. Shaw, CM Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 204 Mississippi St S, Wynne, AR 72396 Phone: 870-208-8499 Fax: 870-208-8044
Mrs. Edith Renee Sherman, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 134 County Road 665, Wynne, AR 72396 Phone: 870-238-5681

William Blake Williams, LCSW - Medicare Clinical Social Worker in Wynne, AR