Judith L Williams, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Fort Wayne, Indiana. Her current practice location is
2355 E Cedar Canyons Rd, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at
(260) 925-2017.
Judith L Williams is licensed to practice in Indiana (license number 20042458A) 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 1508848391.
Healthcare Provider's Profile
Full Name | Judith L Williams |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 2355 E Cedar Canyons Rd, Fort Wayne, Indiana |
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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: 1508848391
- Provider Enumeration Date: 11/17/2005
- Last Update Date: 09/01/2021
Medicare PECOS Information:
- PECOS PAC ID: 0042499295
- Enrollment ID: I20110120000639
Medical Identifiers
Medical identifiers for Judith L Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508848391 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 39000462 (Indiana) | Secondary |
103TC0700X | Psychologist - Clinical | 20042458A (Indiana) | 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. Judith L Williams allows following entities to bill medicare on her behalf.
Entity Name | Family Counseling Center, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1730480211 PECOS PAC ID: 3779762901 Enrollment ID: O20110120000521 |
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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. Judith L 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 |
Judith L Williams, PSYD Po Box 289, Edgerton, OH 43517-0289 Ph: (260) 925-2017 | Judith L Williams, PSYD 2355 E Cedar Canyons Rd, Fort Wayne, IN 46845-9330 Ph: (260) 925-2017 |
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