Mrs Fallon Williams, LCSW, LCAS is a medicare enrolled "Social Worker - Clinical" provider in Goldsboro, North Carolina. She graduated from healthcare school in 2020 and has 5 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
1005 Rosewood Rd, Goldsboro, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(919) 648-6946.
Mrs Fallon Williams is licensed to practice in North Carolina (license number C016078) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1407456163.
Healthcare Provider's Profile
| Full Name | Mrs Fallon Williams |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 5 Years |
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| Location | 1005 Rosewood Rd, Goldsboro, North Carolina |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Fallon Williams graduated from medical school in 2020
NPI Data:
- NPI Number: 1407456163
- Provider Enumeration Date: 10/30/2020
- Last Update Date: 05/19/2025
Medicare PECOS Information:
- PECOS PAC ID: 2860839669
- Enrollment ID: I20240327003832
Medical Identifiers
Medical identifiers for Mrs Fallon Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1407456163 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 26464 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | C016078 (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. Mrs Fallon Williams allows following entities to bill medicare on her behalf.
| Entity Name | Port Health Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497075618 PECOS PAC ID: 5193752681 Enrollment ID: O20050726001211 |
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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. Mrs Fallon 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 |
Mrs Fallon Williams, LCSW, LCAS 1005 Rosewood Rd, Goldsboro, NC 27530-7819 Ph: (919) 648-6946 | Mrs Fallon Williams, LCSW, LCAS 1005 Rosewood Rd, Goldsboro, NC 27530-7819 Ph: (919) 648-6946 |
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