Tasha H Williams, PHD in Fort Wayne, IN - Medicare Clinical Psychologist Provider

Tasha H Williams, PHD is a medicare enrolled "Psychologist - Clinical" provider in Fort Wayne, Indiana. She graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Fort Wayne Neuropsychology Llc and her current practice location is 11104 Parkview Circle Dr, Ste 110, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 460-3100.

Tasha H Williams is licensed to practice in Indiana (license number 20042081A) 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 1467499780.

Contact Information

	Tasha H Williams, PHD
	11104 Parkview Circle Dr, Ste 110, Fort Wayne, IN 46845-1730
	(260) 460-3100
	(260) 460-3130

Map and Direction

Healthcare Provider's Profile

Full Name	Tasha H Williams
Gender	Female
Speciality	Clinical Psychologist
Experience	19 Years
Location	11104 Parkview Circle Dr, Fort Wayne, Indiana
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:

Tasha H Williams graduated from medical school in 2005

NPI Data:

NPI Number: 1467499780
Provider Enumeration Date: 06/02/2006
Last Update Date: 12/26/2012

Medicare PECOS Information:

PECOS PAC ID: 9931106093
Enrollment ID: I20061102000263

Medical Identifiers

Medical identifiers for Tasha H Williams such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467499780	NPI	-	NPPES
200816640	Medicaid	IN
P00399217	Other	IN	RR MEDICARE
2705719	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	20042081A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Fort Wayne Neuropsychology Llc	0345526893	6

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. Tasha H Williams allows following entities to bill medicare on her behalf.

Entity Name	Parkview Health System Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932130952 PECOS PAC ID: 2163336967 Enrollment ID: O20031117000288

Entity Name	Fort Wayne Neuropsychology Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871032862 PECOS PAC ID: 0345526893 Enrollment ID: O20170417001683

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. Tasha H 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
Tasha H Williams, PHD 11104 Parkview Circle Dr, Ste 110, Fort Wayne, IN 46845-1730 Ph: (260) 460-3100	Tasha H Williams, PHD 11104 Parkview Circle Dr, Ste 110, Fort Wayne, IN 46845-1730 Ph: (260) 460-3100

Reviews and Comments

Psychologist in Fort Wayne, IN

Ms. Shauna Marie Croarkin, ED.S., NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1200 Barr St, Fort Wayne, IN 46802 Phone: 260-467-1124 Fax: 260-467-1188
Amanda L Mayle, PSY.D., HSPP Psychologist Medicare: Medicare Enrolled Practice Location: 11141 Parkview Plaza Dr Ste 210, Fort Wayne, IN 46845 Phone: 260-266-5400 Fax: 260-266-5409
Dr. Michelle Renne Miller, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4630 W Jefferson Blvd, Ste 11a, Fort Wayne, IN 46804 Phone: 260-434-1606 Fax: 260-434-1612
Dr. Victor L Rebman, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1910 Saint Joe Center Rd, Office #63, Fort Wayne, IN 46825 Phone: 260-471-9902 Fax: 260-471-9902
Michele Lynn Grimm, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1200 S Clinton St, Fort Wayne, IN 46802 Phone: 260-467-1150 Fax: 260-467-1188
Jason T. Cook, PSY.D., HSPP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 7230 Engle Rd, Ste 304, Fort Wayne, IN 46804 Phone: 260-483-2400 Fax: 260-960-9361
Dr. Galen Arthur Yordy, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2805 Fairfield Ave, Fort Wayne, IN 46807 Phone: 260-456-4880 Fax: 260-456-3559

Tasha H Williams, PHD - Medicare Psychologist in Fort Wayne, IN