Mrs Fallon Middle Williams, LCSWA, LCASA is a medicare enrolled "Social Worker - Clinical" provider in Goldsboro, North Carolina. Her current practice location is
127 Westview Meadows Dr, Goldsboro, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(919) 648-6946.
Mrs Fallon Middle Williams is licensed to practice in North Carolina (license number P014685) 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 1407456163.
Healthcare Provider's Profile
Full Name | Mrs Fallon Middle Williams |
---|
Gender | Female |
---|
Speciality | Social Worker - Clinical |
---|
Location | 127 Westview Meadows Dr, Goldsboro, North Carolina |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1407456163
- Provider Enumeration Date: 10/30/2020
- Last Update Date: 10/30/2020
Medicare PECOS Information:
- PECOS PAC ID: 2860839669
- Enrollment ID: I20240327003832
Medical Identifiers
Medical identifiers for Mrs Fallon Middle 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 | P014685 (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 Middle Williams allows following entities to bill medicare on her behalf.
Entity Name | Port Health Services |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1497075618 PECOS PAC ID: 5193752681 Enrollment ID: O20050726001211 |
---|
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 Middle 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 Middle Williams, LCSWA, LCASA 127 Westview Meadows Dr, Goldsboro, NC 27530-9589 Ph: (919) 648-6946 | Mrs Fallon Middle Williams, LCSWA, LCASA 127 Westview Meadows Dr, Goldsboro, NC 27530-9589 Ph: (919) 648-6946 |
Reviews and Comments