Deonne Marie Williams, MSW, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Bemidji, Minnesota. Her current practice location is
522 Beltrami Ave Nw, Suite 115, Bemidji, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 214-9389.
Deonne Marie Williams is licensed to practice in Minnesota (license number 19439) 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 1689817751.
Healthcare Provider's Profile
| Full Name | Deonne Marie Williams |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 522 Beltrami Ave Nw, Bemidji, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1689817751
- Provider Enumeration Date: 04/19/2009
- Last Update Date: 04/22/2022
Medicare PECOS Information:
- PECOS PAC ID: 9032591417
- Enrollment ID: I20220902001549
Medical Identifiers
Medical identifiers for Deonne Marie Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1689817751 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 19439 (Minnesota) | Secondary |
| 1041C0700X | Social Worker - Clinical | 19439 (Minnesota) | 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. Deonne Marie Williams allows following entities to bill medicare on her behalf.
| Entity Name | I Am Incorporated |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215601422
PECOS PAC ID: 2365826740
Enrollment ID: O20220902001421 |
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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. Deonne Marie 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 |
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Deonne Marie Williams, MSW, LICSW
522 Beltrami Ave Nw Ste 115,
Bemidji, MN 56601-3002
Ph: (218) 214-9389 | Deonne Marie Williams, MSW, LICSW
522 Beltrami Ave Nw, Suite 115,
Bemidji, MN 56601-3001
Ph: (218) 214-9389 |
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