Mr Kenneth Eugene Williams, LPC, LADC in Bridgeport, CT

Mr Kenneth Eugene Williams, LPC, LADC is a medicare enrolled "Counselor - Professional" provider in Bridgeport, Connecticut. His current practice location is 399 Mill Hill Ave, Bridgeport, Connecticut. You can reach out to his office (for appointments etc.) via phone at (475) 294-7054.

Mr Kenneth Eugene Williams is licensed to practice in Connecticut (license number 001422) 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 1275203168.

Contact Information

	Mr Kenneth Eugene Williams, LPC, LADC
	399 Mill Hill Ave, Bridgeport, CT 06610-2865
	(475) 294-7054
	(203) 690-1265

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Kenneth Eugene Williams
Gender	Male
Speciality	Counselor - Professional
Location	399 Mill Hill Ave, Bridgeport, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275203168
Provider Enumeration Date: 09/14/2021
Last Update Date: 08/02/2023

Medicare PECOS Information:

PECOS PAC ID: 4789037961
Enrollment ID: I20240124003762

Medical Identifiers

Medical identifiers for Mr Kenneth Eugene Williams such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275203168	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	005996 (Connecticut)	Secondary
101YP2500X	Counselor - Professional	001422 (Connecticut)	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. Mr Kenneth Eugene Williams allows following entities to bill medicare on his behalf.

Entity Name	Liberation Programs Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316067481 PECOS PAC ID: 8729413604 Enrollment ID: O20211028002480

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. Mr Kenneth Eugene 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
Mr Kenneth Eugene Williams, LPC, LADC 130 Rock Creek Rd, New Haven, CT 06515-1294 Ph: (631) 896-5591	Mr Kenneth Eugene Williams, LPC, LADC 399 Mill Hill Ave, Bridgeport, CT 06610-2865 Ph: (475) 294-7054

Reviews and Comments

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Mr Kenneth Eugene Williams, LPC, LADC - Medicare Counselor in Bridgeport, CT