Tiffany R Williams, PHD is a medicare enrolled "Psychologist" provider in Nashville, Tennessee. Her current practice location is
4623 Trousdale Dr, Nashville, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(615) 301-8431.
Tiffany R Williams is licensed to practice in Tennessee (license number 3695) 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 1376819045.
Healthcare Provider's Profile
Full Name | Tiffany R Williams |
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Gender | Female |
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Speciality | Psychologist |
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Location | 4623 Trousdale Dr, Nashville, Tennessee |
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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: 1376819045
- Provider Enumeration Date: 03/28/2012
- Last Update Date: 06/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 6002219813
- Enrollment ID: I20210730000467
Medical Identifiers
Medical identifiers for Tiffany R Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376819045 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | C1000126 (Ohio) | Secondary |
103TC1900X | Psychologist - Counseling | 07908 (Ohio) | Secondary |
103TC1900X | Psychologist - Counseling | 20043806A (Indiana) | Secondary |
103T00000X | Psychologist | 3695 (Tennessee) | 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. Tiffany R Williams allows following entities to bill medicare on her behalf.
Entity Name | Imani Behavioral Health, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1992294102 PECOS PAC ID: 9739581588 Enrollment ID: O20210715002683 |
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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. Tiffany R 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 |
Tiffany R Williams, PHD 4623 Trousdale Dr, Nashville, TN 37204-4584 Ph: (615) 301-8431 | Tiffany R Williams, PHD 4623 Trousdale Dr, Nashville, TN 37204-4584 Ph: (615) 301-8431 |
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