Dr Andrea Michelle Williams, PSYD is a medicare enrolled "Psychologist - Clinical" provider in White Plains, Maryland. She graduated from medical school in 2011 and has 14 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is
10665 Stanhaven Pl Ste 3119, White Plains, Maryland. You can reach out to her office (for appointments etc.) via phone at
(301) 202-3739.
Dr Andrea Michelle Williams is licensed to practice in Maryland (license number 05717) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1114466869.
Healthcare Provider's Profile
Full Name | Dr Andrea Michelle Williams |
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Gender | Female |
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Speciality | Clinical Psychologist |
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Experience | 14 Years |
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Location | 10665 Stanhaven Pl Ste 3119, White Plains, Maryland |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Andrea Michelle Williams graduated from medical school in 2011
NPI Data:
- NPI Number: 1114466869
- Provider Enumeration Date: 02/14/2017
- Last Update Date: 04/22/2019
Medicare PECOS Information:
- PECOS PAC ID: 0749565000
- Enrollment ID: I20170329000099
Medical Identifiers
Medical identifiers for Dr Andrea Michelle Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114466869 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 05717 (Maryland) | 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. Dr Andrea Michelle Williams allows following entities to bill medicare on her behalf.
Entity Name | Create Your Life Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1639529407 PECOS PAC ID: 1951730381 Enrollment ID: O20200406000733 |
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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. Dr Andrea Michelle 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 |
Dr Andrea Michelle Williams, PSYD 5008 Vane Ct, Waldorf, MD 20602-1526 Ph: (301) 202-3739 | Dr Andrea Michelle Williams, PSYD 10665 Stanhaven Pl Ste 3119, White Plains, MD 20695-3055 Ph: (301) 202-3739 |
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