Cornell Williams, in Los Angeles, CA - Medicare Social Worker Provider

Cornell Williams, is a medicare enrolled "Social Worker - Clinical" provider in Los Angeles, California. His current practice location is 1224 Vine St, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (323) 769-6159.

Cornell Williams is licensed to practice in California (license number 73384) 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 1598019382.

Contact Information

	Cornell Williams,
	1224 Vine St, Los Angeles, CA 90038-1612
	(323) 769-6159
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Cornell Williams
Gender	Male
Speciality	Social Worker - Clinical
Location	1224 Vine St, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598019382
Provider Enumeration Date: 11/01/2012
Last Update Date: 03/17/2018

Medicare PECOS Information:

PECOS PAC ID: 2567992373
Enrollment ID: I20250210000986

Medical Identifiers

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

Identifier	Type	State	Issuer
1598019382	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	34634 (California)	Secondary
1041C0700X	Social Worker - Clinical	73384 (California)	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. Cornell Williams allows following entities to bill medicare on his behalf.

Entity Name	Grow Healthcare Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080

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. Cornell 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
Cornell Williams, 1224 Vine St, Los Angeles, CA 90038-1612 Ph: () -	Cornell Williams, 1224 Vine St, Los Angeles, CA 90038-1612 Ph: (323) 769-6159

Cornell Williams, - Medicare Counselor in Los Angeles, CA