Dr Charles Russell Williams, PHD in Nashville, TN - Medicare Psychologist Provider

Dr Charles Russell Williams, PHD is a medicare enrolled "Psychologist" provider in Nashville, Tennessee. His current practice location is 201 23rd Ave N, Nashville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (615) 348-7908.

Dr Charles Russell Williams is licensed to practice in Tennessee (license number 3619) 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 1003226986.

Contact Information

	Dr Charles Russell Williams, PHD
	201 23rd Ave N, Nashville, TN 37203-1501
	(615) 348-7908
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Charles Russell Williams
Gender	Male
Speciality	Psychologist
Location	201 23rd Ave N, Nashville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003226986
Provider Enumeration Date: 05/01/2014
Last Update Date: 04/10/2023

Medicare PECOS Information:

PECOS PAC ID: 5395153530
Enrollment ID: I20210428000358

Medical Identifiers

Medical identifiers for Dr Charles Russell Williams such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003226986	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	4492 (Arizona)	Secondary
103T00000X	Psychologist	3619 (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. Dr Charles Russell Williams allows following entities to bill medicare on his behalf.

Entity Name	Zenith Mental Health Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184281925 PECOS PAC ID: 4486062627 Enrollment ID: O20210428000270

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 Charles Russell 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 Charles Russell Williams, PHD 13258 Dominus Way, Colorado Springs, CO 80921-7233 Ph: (615) 483-0188	Dr Charles Russell Williams, PHD 201 23rd Ave N, Nashville, TN 37203-1501 Ph: (615) 348-7908

Reviews and Comments

Psychologist in Nashville, TN

Dr. Heather Kreth, PSY.D Psychologist Medicare: Medicare Enrolled Practice Location: 3601 The Vanderbilt Clinic, Nashville, TN 37232 Phone: 615-936-2000
Dr. Elizabeth Leigh Vanhorn, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1720 W End Ave Ste 240, Nashville, TN 37203 Phone: 615-320-1155
Dr. Daniel Diperna, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4205 Hillsboro Pike Ste 301, Nashville, TN 37215 Phone: 615-714-1151
William Michael Hart, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1101 Black Cherry Ct, Nashville, TN 37215 Phone: 415-509-1117
Tori Ella Foster, PHD, BCBA, PLMHP Psychologist Medicare: Medicare Enrolled Practice Location: 3601 The Vanderbilt Clinic, Nashville, TN 37232 Phone: 615-322-3000
Dr. Andre Wielemaker, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4235 Hillsboro Pike Ste 300, Nashville, TN 37215 Phone: 615-674-6933

Dr Charles Russell Williams, PHD - Medicare Psychologist in Nashville, TN