Dr Stephanie Williams, PHD is a medicare enrolled "Psychologist" provider in Gilroy, California. She graduated from healthcare school in 2015 and has 9 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Integrated Psychological Assessment Services Inc and her current practice location is
8355 Church St, Gilroy, California. You can reach out to her office (for appointments etc.) via phone at
(408) 359-6700.
Dr Stephanie Williams is licensed to practice in California (license number PSY29189) 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 1669765590.
Healthcare Provider's Profile
| Full Name | Dr Stephanie Williams |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 9 Years |
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| Location | 8355 Church St, Gilroy, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Stephanie Williams graduated from medical school in 2015
NPI Data:
- NPI Number: 1669765590
- Provider Enumeration Date: 05/25/2011
- Last Update Date: 05/05/2022
Medicare PECOS Information:
- PECOS PAC ID: 2567875875
- Enrollment ID: I20210203001929
Medical Identifiers
Medical identifiers for Dr Stephanie Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669765590 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 006131 (Georgia) | Secondary |
| 103G00000X | Clinical Neuropsychologist | PSY29189 (California) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY29189 (California) | Secondary |
| 103TF0200X | Psychologist - Forensic | PSY29189 (California) | Secondary |
| 103T00000X | Psychologist | PSY29189 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Integrated Psychological Assessment Services Inc | 2769871268 | 2 |
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. Dr Stephanie Williams allows following entities to bill medicare on her behalf.
| Entity Name | Integrated Psychological Assessment Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750926374
PECOS PAC ID: 2769871268
Enrollment ID: O20211122001207 |
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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. Dr Stephanie 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 |
|---|
Dr Stephanie Williams, PHD
Po Box 657,
Gilroy, CA 95021-0657
Ph: (408) 359-6700 | Dr Stephanie Williams, PHD
8355 Church St,
Gilroy, CA 95020-4406
Ph: (408) 359-6700 |
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