Darryl Williams, PT is a medicare enrolled "Clinic/center - Physical Therapy" provider in Ventura, California. His current practice location is
5725 Ralston St, Suite 103, Ventura, California. You can reach out to his office (for appointments etc.) via phone at
(805) 658-6964.
Darryl Williams is licensed to practice in California (license number PT26197) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1770810087.
Healthcare Provider's Profile
| Full Name | Darryl Williams |
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| Gender | Male |
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| Speciality | Clinic/center - Physical Therapy |
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| Location | 5725 Ralston St, Ventura, California |
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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: 1770810087
- Provider Enumeration Date: 11/06/2009
- Last Update Date: 06/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 7810980588
- Enrollment ID: I20040407000844
Medical Identifiers
Medical identifiers for Darryl Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1770810087 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 26197 (California) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | PT26197 (California) | 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. Darryl Williams allows following entities to bill medicare on his behalf.
| Provider Name | California Luna Care Physical Therapy Pc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1689162166
PECOS PAC ID: 9638427834
Enrollment ID: O20180803002123 |
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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. Darryl 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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Darryl Williams, PT
300 Bisby Ave,
Ukiah, CA 95482-8839
Ph: (951) 204-0576 | Darryl Williams, PT
5725 Ralston St, Suite 103,
Ventura, CA 93003-6053
Ph: (805) 658-6964 |
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