Petula Williams, LMHC in Bartow, FL - Medicare Counselor Provider

Petula Williams, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Bartow, Florida. Her current practice location is 1239 E Main St, Bartow, Florida. You can reach out to her office (for appointments etc.) via phone at (863) 519-0575.

Petula Williams is licensed to practice in Florida (license number MH23623) 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 1770962383.

Contact Information

	Petula Williams, LMHC
	1239 E Main St, Bartow, FL 33830-5058
	(863) 519-0575
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Petula Williams
Gender	Female
Speciality	Counselor - Mental Health
Location	1239 E Main St, Bartow, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770962383
Provider Enumeration Date: 05/28/2015
Last Update Date: 09/18/2024

Medicare PECOS Information:

PECOS PAC ID: 5799229001
Enrollment ID: I20240627002482

Medical Identifiers

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

Identifier	Type	State	Issuer
1770962383	NPI	-	NPPES
122153000	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	MH23623 (Florida)	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. Petula Williams allows following entities to bill medicare on her behalf.

Entity Name	Cotler Healthcare & Development Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225075047 PECOS PAC ID: 0143121145 Enrollment ID: O20040114000075

Entity Name	Peace River Center For Personal Development Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821097767 PECOS PAC ID: 7719877927 Enrollment ID: O20040319000056

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. Petula 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
Petula Williams, LMHC Po Box 1559, Bartow, FL 33831-1559 Ph: (863) 519-0575	Petula Williams, LMHC 1239 E Main St, Bartow, FL 33830-5058 Ph: (863) 519-0575

Reviews and Comments

Counselor in Bartow, FL

Youlaunda Lashawn Wright-speed, Counselor Medicare: Not Enrolled in Medicare Practice Location: 555 Forrest Dr, Bartow, FL 33830 Phone: 863-440-6230
Jessica Little, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1255 Golfview Ave, Bartow, FL 33830 Phone: 863-519-0575 Fax: 863-582-9251
Travis Risner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1255 Golfview Ave, Bartow, FL 33830 Phone: 863-519-0575 Fax: 863-582-9251
Chad Feacher, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1255 Golfview Ave, Bartow, FL 33830 Phone: 863-519-0575
Joni Irene Nelson, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 495 S Central Ave, Bartow, FL 33830 Phone: 863-585-3247
Michael Scott Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1239 E Main St, Bartow, FL 33830 Phone: 863-519-0575
Jamie Grandy, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1735 W Oakwood Loop, Bartow, FL 33830 Phone: 863-651-2154

Petula Williams, LMHC - Medicare Counselor in Bartow, FL