Divine Williams, LMHC in New York, NY - Medicare Counselor Provider

Divine Williams, LMHC is a medicare enrolled "Counselor - Mental Health" provider in New York, New York. Her current practice location is 65 Broadway Ste 505, New York, New York. You can reach out to her office (for appointments etc.) via phone at (914) 819-7126.

Divine Williams is licensed to practice in New York (license number 011803-01) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1073266458.

Contact Information

	Divine Williams, LMHC
	65 Broadway Ste 505, New York, NY 10006-2540
	(914) 819-7126
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Divine Williams
Gender	Female
Speciality	Counselor - Mental Health
Location	65 Broadway Ste 505, New York, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073266458
Provider Enumeration Date: 01/27/2022
Last Update Date: 01/27/2022

Medicare PECOS Information:

PECOS PAC ID: 6608214127
Enrollment ID: I20240403002202

Medical Identifiers

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

Identifier	Type	State	Issuer
1073266458	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	011803-01 (New York)	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. Divine Williams allows following entities to bill medicare on her behalf.

Entity Name	Che Senior Psychological Services, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023078219 PECOS PAC ID: 8022905314 Enrollment ID: O20040322001429

Entity Name	Knapp Street Psychiatry, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043248776 PECOS PAC ID: 1153212998 Enrollment ID: O20040322001760

Entity Name	The Epilepsy Institute
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184797284 PECOS PAC ID: 0941191381 Enrollment ID: O20040323002054

Entity Name	The Epilepsy Institute
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255629127 PECOS PAC ID: 0941191381 Enrollment ID: O20120416000664

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. Divine 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
Divine Williams, LMHC 65 Broadway Ste 505, New York, NY 10006-2540 Ph: (914) 819-7126	Divine Williams, LMHC 65 Broadway Ste 505, New York, NY 10006-2540 Ph: (914) 819-7126

Reviews and Comments

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Amber Bankson, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 37 E 28th St, Suite 408, New York, NY 10016 Phone: 347-291-6721

Divine Williams, LMHC - Medicare Counselor in New York, NY