Mr Matthew Benjamin Williams, PHD in Marietta, GA - Medicare Psychologist Provider

Mr Matthew Benjamin Williams, PHD is a medicare enrolled "Psychologist" provider in Marietta, Georgia. His current practice location is 1640 Powers Ferry Rd Se Ste 100, Marietta, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 953-0080.

Mr Matthew Benjamin Williams is licensed to practice in Georgia (license number PSY004293) 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 1205150794.

Contact Information

	Mr Matthew Benjamin Williams, PHD
	1640 Powers Ferry Rd Se Ste 100, Marietta, GA 30067-5491
	(770) 953-0080
	(770) 953-0031

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Matthew Benjamin Williams
Gender	Male
Speciality	Psychologist
Location	1640 Powers Ferry Rd Se Ste 100, Marietta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205150794
Provider Enumeration Date: 03/26/2010
Last Update Date: 11/30/2021

Medicare PECOS Information:

PECOS PAC ID: 0749546984
Enrollment ID: I20220920002195

Medical Identifiers

Medical identifiers for Mr Matthew Benjamin Williams such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205150794	NPI	-	NPPES
1205150794	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PSY27584 (California)	Secondary
103T00000X	Psychologist	PSY004293 (Georgia)	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. Mr Matthew Benjamin Williams allows following entities to bill medicare on his behalf.

Entity Name	Personal Recovery Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881990869 PECOS PAC ID: 5092611384 Enrollment ID: O20120110000096

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. Mr Matthew Benjamin 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
Mr Matthew Benjamin Williams, PHD 1640 Powers Ferry Rd Se Ste 100, Marietta, GA 30067-5491 Ph: (770) 953-0080	Mr Matthew Benjamin Williams, PHD 1640 Powers Ferry Rd Se Ste 100, Marietta, GA 30067-5491 Ph: (770) 953-0080

Reviews and Comments

Psychologist in Marietta, GA

Michelle Theresa Jesse, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 55 Whitcher St Ne Ste 420, Marietta, GA 30060 Phone: 770-514-6760 Fax: 770-794-8034
Dr. Jeffrey John Pipe, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 127 Church St Ne, Suite 350, Marietta, GA 30060 Phone: 770-425-8275 Fax: 770-425-8276
Dr. Helen Barnes Vantine, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 550 Kennesaw Ave Nw, Ste 700, Marietta, GA 30060 Phone: 770-424-0033 Fax: 770-424-7744
Dr. Lisa B Story, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 4343 Shallowford Rd, Suite E1, Marietta, GA 30062 Phone: 678-237-1827 Fax: 678-868-1808
Dr. Rena Beth Zweben, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3115 Roswell Rd, Suite 201, Marietta, GA 30062 Phone: 678-560-7755 Fax: 678-560-9976
Dr. Rachel Feit, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 55 Whitcher St Ne Ste 420, Marietta, GA 30060 Phone: 770-514-6760 Fax: 770-794-8034
Dr. Cheryl Anderson Williams, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2625 Sandy Plains Rd, Suite 104, Marietta, GA 30066 Phone: 770-509-3711 Fax: 770-509-3799

Mr Matthew Benjamin Williams, PHD - Medicare Psychologist in Marietta, GA