Antionette Williams, is a
Peer Specialist based in Vista, California. Antionette Williams is licensed to practice in California (license number MPSS-WACZHG) and her current practice location is
200 Michigan Ave, Vista, California. She can be reached at her office (for appointments etc.) via phone at
(760) 509-3455.
NPI number for Antionette Williams is 1487040986 and her current mailing address is 200 Michigan Ave, Vista, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487040986.
Healthcare Provider's Profile
Full Name | Antionette Williams |
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Gender | Female |
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Speciality | Peer Specialist |
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Location | 200 Michigan Ave, Vista, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1487040986
- Provider Enumeration Date: 04/10/2015
- Last Update Date: 04/13/2023
Medical Identifiers
Medical identifiers for Antionette Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487040986 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
175T00000X | Peer Specialist | MPSS-WACZHG (California) | Primary |
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. Antionette Williams is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Antionette Williams, 200 Michigan Ave, Vista, CA 92084-5424 Ph: (760) 509-3455 | Antionette Williams, 200 Michigan Ave, Vista, CA 92084-5424 Ph: (760) 509-3455 |
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