Tia Williams, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Tyler, Texas. Her current practice location is
16075 Old Jacksonville Hwy, Tyler, Texas. You can reach out to her office (for appointments etc.) via phone at
(903) 402-3822.
Tia Williams is licensed to practice in Texas (license number 62683) 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 1992398978.
Healthcare Provider's Profile
Full Name | Tia Williams |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 16075 Old Jacksonville Hwy, Tyler, Texas |
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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: 1992398978
- Provider Enumeration Date: 02/19/2021
- Last Update Date: 07/12/2023
Medicare PECOS Information:
- PECOS PAC ID: 7012378896
- Enrollment ID: I20230726001027
Medical Identifiers
Medical identifiers for Tia Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992398978 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | 62683 (Texas) | Secondary |
1041C0700X | Social Worker - Clinical | 62683 (Texas) | 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. Tia Williams allows following entities to bill medicare on her behalf.
Entity Name | Senior Psychological Care Dallas I Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1649566795 PECOS PAC ID: 3375717044 Enrollment ID: O20111114000885 |
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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. Tia 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 |
Tia Williams, LCSW 1910 Ese Loop323 # 265, Tyler, TX 75701-8337 Ph: (903) 268-1002 | Tia Williams, LCSW 16075 Old Jacksonville Hwy, Tyler, TX 75703 Ph: (903) 402-3822 |
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