Terry Jerome Williams, LAC in Texarkana, AR - Medicare Counselor Provider

Terry Jerome Williams, LAC is a medicare enrolled "Counselor" provider in Texarkana, Arkansas. His current practice location is 2904 Arkansas Blvd, Texarkana, Arkansas. You can reach out to his office (for appointments etc.) via phone at (870) 773-4655.

Terry Jerome Williams is licensed to practice in Arkansas (license number A2205005) 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 1003306853.

Contact Information

	Terry Jerome Williams, LAC
	2904 Arkansas Blvd, Texarkana, AR 71854-2536
	(870) 773-4655
	(870) 772-4650

Map and Direction

Healthcare Provider's Profile

Full Name	Terry Jerome Williams
Gender	Male
Speciality	Counselor
Location	2904 Arkansas Blvd, Texarkana, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003306853
Provider Enumeration Date: 05/17/2018
Last Update Date: 05/23/2022

Medicare PECOS Information:

PECOS PAC ID: 1254869308
Enrollment ID: I20250116003100

Medical Identifiers

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

Identifier	Type	State	Issuer
1003306853	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	(* (Not Available))	Secondary
101Y00000X	Counselor	A2205005 (Arkansas)	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. Terry Jerome Williams allows following entities to bill medicare on his behalf.

Entity Name	Cornerstone Counseling Clinic, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851819544 PECOS PAC ID: 0547665382 Enrollment ID: O20210817003656

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. Terry Jerome 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
Terry Jerome Williams, LAC 2904 Arkansas Blvd, Texarkana, AR 71854-2536 Ph: (870) 773-4655	Terry Jerome Williams, LAC 2904 Arkansas Blvd, Texarkana, AR 71854-2536 Ph: (870) 773-4655

Reviews and Comments

Counselor in Texarkana, AR

Carlotta A Powell, ADC,CS,PRSS Counselor Medicare: Not Enrolled in Medicare Practice Location: 7000 N Stateline Ave, Texarkana, AR 71854 Phone: 870-774-1315
Angela Mckinney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 701 Arkansas Blvd, Texarkana, AR 71854 Phone: 870-772-5028
Anna M Mcbee, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7000 N Stateline Ave, Texarkana, AR 71854 Phone: 870-774-1315
George Ramser, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 701 Arkansas Blvd, Texarkana, AR 71854 Phone: 870-772-5028 Fax: 870-772-5056
Shalundrea Lavaughn Cleveland, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4323 Jefferson Ave, Texarkana, AR 71854 Phone: 870-773-0700 Fax: 870-773-0705
Rustin Green, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4323 Jefferson Ave, Texarkana, AR 71854 Phone: 870-773-0700 Fax: 870-773-0705

Terry Jerome Williams, LAC - Medicare Counselor in Texarkana, AR