Mr William Anthony Mathis, LCSW, CADC is a medicare enrolled "Social Worker - Clinical" provider in Clarksville, Indiana. His current practice location is
517 Little League Blvd, Clarksville, Indiana. You can reach out to his office (for appointments etc.) via phone at
(888) 948-6789.
Mr William Anthony Mathis is licensed to practice in Kentucky (license number 3320) 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 1639408990.
Healthcare Provider's Profile
| Full Name | Mr William Anthony Mathis |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 517 Little League Blvd, Clarksville, Indiana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1639408990
- Provider Enumeration Date: 12/16/2009
- Last Update Date: 10/29/2018
Medicare PECOS Information:
- PECOS PAC ID: 9234568023
- Enrollment ID: I20200330002560
Medical Identifiers
Medical identifiers for Mr William Anthony Mathis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1639408990 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1048 (Kentucky) | Secondary |
| 1041C0700X | Social Worker - Clinical | 34005676A (Indiana) | Secondary |
| 1041C0700X | Social Worker - Clinical | 3320 (Kentucky) | 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 William Anthony Mathis allows following entities to bill medicare on his behalf.
| Entity Name | Ppl Therapeutic Services Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104323252
PECOS PAC ID: 8527323989
Enrollment ID: O20180606000408 |
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| Entity Name | 360care Services Of Kentucky Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669113023
PECOS PAC ID: 9931587888
Enrollment ID: O20220604000305 |
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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. Mr William Anthony Mathis 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 |
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Mr William Anthony Mathis, LCSW, CADC
3907 Elgin Way,
Louisville, KY 40216-4908
Ph: (502) 778-2006 | Mr William Anthony Mathis, LCSW, CADC
517 Little League Blvd,
Clarksville, IN 47129-6629
Ph: (888) 948-6789 |
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