William Thomas Bibb Jr, is a medicare enrolled "Public Health Or Welfare" provider in Cleveland, Ohio. His current practice location is
1675 Ansel Rd, Cleveland, Ohio. You can reach out to his office (for appointments etc.) via phone at
(216) 299-7780.
William Thomas Bibb Jr is licensed to practice in Ohio (license number 161717) 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 1427574748.
Healthcare Provider's Profile
| Full Name | William Thomas Bibb Jr |
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| Gender | Male |
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| Speciality | Public Health Or Welfare |
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| Location | 1675 Ansel Rd, Cleveland, Ohio |
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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: 1427574748
- Provider Enumeration Date: 08/17/2017
- Last Update Date: 05/15/2025
Medicare PECOS Information:
- PECOS PAC ID: 5991223851
- Enrollment ID: I20250515001039
Medical Identifiers
Medical identifiers for William Thomas Bibb Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427574748 | NPI | - | NPPES |
| 72379863 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | 161717 (Ohio) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 161717 (Ohio) | Secondary |
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | 161717 (Ohio) | Secondary |
| 103TH0100X | Psychologist - Health Service | 161717 (Ohio) | Secondary |
| 171400000X | Health & Wellness Coach | 161717 (Ohio) | Secondary |
| 171M00000X | Case Manager/care Coordinator | 161717 (Ohio) | Secondary |
| 172V00000X | Community Health Worker | 161717 (Ohio) | Secondary |
| 174400000X | Specialist | 161717 (Ohio) | Secondary |
| 1744R1102X | Specialist - Research Study | 161717 (Ohio) | Secondary |
| 174H00000X | Health Educator | 161717 (Ohio) | Secondary |
| 208D00000X | General Practice | 161717 (Ohio) | Secondary |
| 225800000X | Recreation Therapist | 161717 (Ohio) | Secondary |
| 261QP0904X | Clinic/center - Public Health, Federal | 161717 (Ohio) | Secondary |
| 405300000X | Prevention Professional | 161717 (Ohio) | Secondary |
| 251K00000X | Public Health Or Welfare | 161717 (Ohio) | 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. William Thomas Bibb Jr allows following entities to bill medicare on his behalf.
| Entity Name | Golden Finish Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225805906
PECOS PAC ID: 5294253159
Enrollment ID: O20250515000869 |
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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. William Thomas Bibb Jr 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 |
|---|
William Thomas Bibb Jr,
1675 Ansel Rd Apt 1329,
Cleveland, OH 44106-4175
Ph: (216) 299-7780 | William Thomas Bibb Jr,
1675 Ansel Rd,
Cleveland, OH 44106-4181
Ph: (216) 299-7780 |
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