Mr Lee Martin Williams Sr, LCSW, SUDC is a medicare enrolled "Social Worker - Clinical" provider in North Logan, Utah. His current practice location is
186 E. 1800 N., North Logan, Utah. You can reach out to his office (for appointments etc.) via phone at
(435) 213-3062.
Mr Lee Martin Williams Sr is licensed to practice in Utah (license number 8132029-3502) 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 1750627287.
Healthcare Provider's Profile
| Full Name | Mr Lee Martin Williams Sr |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 186 E. 1800 N., North Logan, Utah |
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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: 1750627287
- Provider Enumeration Date: 01/03/2013
- Last Update Date: 06/05/2019
Medicare PECOS Information:
- PECOS PAC ID: 8729424478
- Enrollment ID: I20240315002752
Medical Identifiers
Medical identifiers for Mr Lee Martin Williams Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750627287 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 8132029-6006 (Utah) | Secondary |
| 1041C0700X | Social Worker - Clinical | 8132029-3502 (Utah) | 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. Mr Lee Martin Williams Sr allows following entities to bill medicare on his behalf.
| Entity Name | Beecon Recovery Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437780673
PECOS PAC ID: 5799149910
Enrollment ID: O20231109002083 |
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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. Mr Lee Martin Williams Sr 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 |
|---|
Mr Lee Martin Williams Sr, LCSW, SUDC
186 E 1800 N,
North Logan, UT 84341-2019
Ph: (435) 213-3062 | Mr Lee Martin Williams Sr, LCSW, SUDC
186 E. 1800 N.,
North Logan, UT 84341
Ph: (435) 213-3062 |
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