Breeanne Williams, LCSW is a medicare enrolled "Social Worker - Clinical" provider in San Tan Valley, Arizona. 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 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 1508358334.
Healthcare Provider's Profile
Full Name | Breeanne Williams |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 3015 E Houston Dr, San Tan Valley, Arizona |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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 |
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 | 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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