Breeanne Williams, LCSW is a medicare enrolled "Social Worker - Clinical" provider in San Tan Valley, Arizona. She graduated from healthcare school in 2018 and has 8 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Telemedicine Group Pc and her current practice location is
3015 E Houston Dr, San Tan Valley, Arizona. You can reach out to her office (for appointments etc.) via phone at
(714) 747-2347.
Breeanne Williams is licensed to practice in California (license number 104132) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1508358334.
Healthcare Provider's Profile
| Full Name | Breeanne Williams |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 8 Years |
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| Location | 3015 E Houston Dr, San Tan Valley, Arizona |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Breeanne Williams graduated from medical school in 2018
NPI Data:
- NPI Number: 1508358334
- Provider Enumeration Date: 06/06/2018
- Last Update Date: 10/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 5799126173
- Enrollment ID: I20240710004988
Medical Identifiers
Medical identifiers for Breeanne Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1508358334 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | 84248 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 104132 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Telemedicine Group Pc | 9830351824 | 70 |
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. Breeanne Williams allows following entities to bill medicare on her behalf.
| Entity Name | Telemedicine Group Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326338237 PECOS PAC ID: 9830351824 Enrollment ID: O20120509000349 |
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| Entity Name | Wings Of The Future Nfp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194481556 PECOS PAC ID: 7416391404 Enrollment ID: O20240516001336 |
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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. Breeanne 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 |
Breeanne Williams, LCSW 3015 E Houston Dr, San Tan Valley, AZ 85143-1697 Ph: (714) 747-2347 | Breeanne Williams, LCSW 3015 E Houston Dr, San Tan Valley, AZ 85143-1697 Ph: (714) 747-2347 |
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