Gary Lewall Williams, PEER RECOVERY COACH is a
Peer Specialist based in Fontana, California. Gary Lewall Williams is licensed to practice in California (license number MPSS-PCIHYD) and his current practice location is
15217 San Bernardino Ave, Fontana, California. He can be reached at his office (for appointments etc.) via phone at
(951) 643-2150.
NPI number for Gary Lewall Williams is 1427701366 and his current mailing address is 15217 San Bernardino Ave, Fontana, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1427701366.
Healthcare Provider's Profile
| Full Name | Gary Lewall Williams |
|---|
| Gender | Male |
|---|
| Speciality | Peer Specialist |
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| Location | 15217 San Bernardino Ave, Fontana, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1427701366
- Provider Enumeration Date: 02/01/2022
- Last Update Date: 10/10/2025
Medical Identifiers
Medical identifiers for Gary Lewall Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1427701366 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | R1486101022 (California) | Secondary |
| 175T00000X | Peer Specialist | MPSS-PCIHYD (California) | Primary |
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. Gary Lewall Williams is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Gary Lewall Williams, PEER RECOVERY COACH 15217 San Bernardino Ave, Fontana, CA 92335-5327 Ph: (951) 643-2150 | Gary Lewall Williams, PEER RECOVERY COACH 15217 San Bernardino Ave, Fontana, CA 92335-5327 Ph: (951) 643-2150 |
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