Jeffrey Joshua Williams, is a medicare enrolled "Social Worker - Clinical" provider in Pinehurst, North Carolina. His current practice location is
205 Memorial Dr, Pinehurst, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(910) 295-2040.
Jeffrey Joshua Williams is licensed to practice in North Carolina (license number P015453) 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 1326552241.
Healthcare Provider's Profile
| Full Name | Jeffrey Joshua Williams |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 205 Memorial Dr, Pinehurst, North Carolina |
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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: 1326552241
- Provider Enumeration Date: 11/30/2017
- Last Update Date: 11/29/2022
Medicare PECOS Information:
- PECOS PAC ID: 8325499924
- Enrollment ID: I20240108006032
Medical Identifiers
Medical identifiers for Jeffrey Joshua Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326552241 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS-24928 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | P015453 (North Carolina) | 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. Jeffrey Joshua Williams allows following entities to bill medicare on his behalf.
| Entity Name | Axis Healthcare Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326295098
PECOS PAC ID: 1254409550
Enrollment ID: O20081013000520 |
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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. Jeffrey Joshua 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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Jeffrey Joshua Williams,
284 Executive Park Dr Ste 100,
Concord, NC 28025-1833
Ph: (704) 939-1100 | Jeffrey Joshua Williams,
205 Memorial Dr,
Pinehurst, NC 28374
Ph: (910) 295-2040 |
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