Andre Williams, in Fostoria, OH - Medicare Counselor Provider

Andre Williams, is a medicare enrolled "Counselor" provider in Fostoria, Ohio. His current practice location is 11051 Autumn Ln, Fostoria, Ohio. You can reach out to his office (for appointments etc.) via phone at (702) 437-2727.

Andre Williams is licensed to practice in * (Not Available) (license number ) 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 1699012898.

Contact Information

	Andre Williams,
	11051 Autumn Ln, Fostoria, OH 44830-3309
	(702) 437-2727
	(702) 437-1584

Map and Direction

Healthcare Provider's Profile

Full Name	Andre Williams
Gender	Male
Speciality	Counselor
Location	11051 Autumn Ln, Fostoria, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699012898
Provider Enumeration Date: 01/08/2013
Last Update Date: 05/09/2024

Medicare PECOS Information:

PECOS PAC ID: 6204289218
Enrollment ID: I20240125004045

Medical Identifiers

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

Identifier	Type	State	Issuer
1699012898	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	CP1205 (Nevada)	Secondary
101Y00000X	Counselor	E.200.1900 (Ohio)	Secondary
101Y00000X	Counselor	(* (Not Available))	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. Andre Williams allows following entities to bill medicare on his behalf.

Entity Name	Fundamental Behavioral Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699158600 PECOS PAC ID: 0345657979 Enrollment ID: O20210329000558

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. Andre 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
Andre Williams, 11051 Autumn Ln, Fostoria, OH 44830-3309 Ph: (702) 437-2727	Andre Williams, 11051 Autumn Ln, Fostoria, OH 44830-3309 Ph: (702) 437-2727

Reviews and Comments

Counselor in Fostoria, OH

Mrs. Tonya Michelle Miller, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 25 Christopher Dr, Fostoria, OH 44830 Phone: 419-435-8112 Fax: 419-435-6220
Jodi Kindred Lpc, Counselor Medicare: Not Enrolled in Medicare Practice Location: 122 W Center St, Fostoria, OH 44830 Phone: 419-435-0204 Fax: 419-436-9846
Teresa Mauko, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3055 Fostoria Rd, Fostoria, OH 44830 Phone: 706-358-6420
Miss Lileigh Bower, Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 S Main St Ste 305, Fostoria, OH 44830 Phone: 567-429-1000 Fax: 419-436-7460
Ed Vollmar, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 323 N Wood St, Fostoria, OH 44830 Phone: 419-435-1775 Fax: 419-663-5070
Destinee Mulcahy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 122 W Center St, Fostoria, OH 44830 Phone: 419-435-0204
Jessica Lewallen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 122 W Center St, Fostoria, OH 44830 Phone: 419-435-0204 Fax: 419-436-9846

Andre Williams, - Medicare Counselor in Fostoria, OH