Larry Adam Williamson, LCPC in Jackson, WY - Medicare Counselor Provider

Larry Adam Williamson, LCPC is a medicare enrolled "Counselor - Professional" provider in Jackson, Wyoming. His current practice location is 640 E Broadway Ave, Jackson, Wyoming. You can reach out to his office (for appointments etc.) via phone at (307) 733-2046.

Larry Adam Williamson is licensed to practice in * (Not Available) (license number ) 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 1962544130.

Contact Information

	Larry Adam Williamson, LCPC
	640 E Broadway Ave, Jackson, WY 83001-1868
	(307) 733-2046
	(307) 733-6289

Map and Direction

Healthcare Provider's Profile

Full Name	Larry Adam Williamson
Gender	Male
Speciality	Counselor - Professional
Location	640 E Broadway Ave, Jackson, Wyoming
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962544130
Provider Enumeration Date: 02/13/2007
Last Update Date: 02/24/2020

Medicare PECOS Information:

PECOS PAC ID: 8628115169
Enrollment ID: I20240122003310

Medical Identifiers

Medical identifiers for Larry Adam Williamson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962544130	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	(* (Not Available))	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. Larry Adam Williamson allows following entities to bill medicare on his behalf.

Entity Name	Mental Health & Recovery Services Of Jackson Hole
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578635462 PECOS PAC ID: 0840272472 Enrollment ID: O20040607000292

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. Larry Adam Williamson 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
Larry Adam Williamson, LCPC Po Box 1868, Jackson, WY 83001-1868 Ph: (307) 733-2046	Larry Adam Williamson, LCPC 640 E Broadway Ave, Jackson, WY 83001-1868 Ph: (307) 733-2046

Reviews and Comments

Counselor in Jackson, WY

Lorraine Thompson, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 E Pearl Ave Ste B005, Jackson, WY 83001 Phone: 307-699-5025
Starr Marie Sonne, M.ED.; LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 145 E Snow King Ave, Office #3, Jackson, WY 83001 Phone: 307-699-1329
Sandra Sanderson, ED.S Counselor Medicare: Not Enrolled in Medicare Practice Location: 140 E Broadway Ave # 13, Jackson, WY 83001 Phone: 307-413-6528
Tracy Hiatt, ED.S. PPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 E Pearl Ave Ste B005, Jackson, WY 83001 Phone: 307-264-0161
Leann M. Dzemske, M. SC., LPC, ATR Counselor Medicare: Medicare Enrolled Practice Location: 690 S Hwy 89 # 201, Jackson, WY 83001 Phone: 307-231-2001 Fax: 307-288-6056
Margaret Brigham, PPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 510 S Cache St, Jackson, WY 83001 Phone: 307-733-6440
Ms. Cheryl Ann Renzulli, MA, LAT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1115 Maple Way, Suite C, Jackson, WY 83001 Phone: 307-699-0807 Fax: 307-733-7339

Larry Adam Williamson, LCPC - Medicare Counselor in Jackson, WY