Matana Queen Williams, OTR/L is a medicare enrolled "Occupational Therapist" provider in Clarkston, Georgia. Her current practice location is
790 N Indian Creek Dr, Clarkston, Georgia. You can reach out to her office (for appointments etc.) via phone at
(404) 955-8564.
Matana Queen Williams is licensed to practice in * (Not Available) (license number ) 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 1285345371.
Healthcare Provider's Profile
| Full Name | Matana Queen Williams |
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| Gender | Female |
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| Speciality | Occupational Therapist |
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| Location | 790 N Indian Creek Dr, Clarkston, Georgia |
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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: 1285345371
- Provider Enumeration Date: 12/08/2022
- Last Update Date: 12/08/2022
Medicare PECOS Information:
- PECOS PAC ID: 6204206956
- Enrollment ID: I20221221002329
Medical Identifiers
Medical identifiers for Matana Queen Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1285345371 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | (* (Not Available)) | 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. Matana Queen Williams allows following entities to bill medicare on her behalf.
| Provider Name | Dove Rehab Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1346581915
PECOS PAC ID: 5395983290
Enrollment ID: O20130605000387 |
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| Provider Name | Empowerme Rehabilitation Georgia, Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1952934374
PECOS PAC ID: 4284063835
Enrollment ID: O20200401003230 |
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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. Matana Queen 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 |
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Matana Queen Williams, OTR/L
406 Harmony Grove Rd,
Lilburn, GA 30047-6512
Ph: (404) 643-7169 | Matana Queen Williams, OTR/L
790 N Indian Creek Dr,
Clarkston, GA 30021-2302
Ph: (404) 955-8564 |
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