Ms Star Ora Williams, MSW, LICSW is a medicare enrolled "Social Worker" provider in Plymouth, Minnesota. Her current practice location is
3251 Fernbrook Ln N, Plymouth, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(612) 268-5858.
Ms Star Ora Williams is licensed to practice in Minnesota (license number 29948) 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 1487195327.
Healthcare Provider's Profile
Full Name | Ms Star Ora Williams |
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Gender | Female |
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Speciality | Social Worker |
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Location | 3251 Fernbrook Ln N, Plymouth, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1487195327
- Provider Enumeration Date: 03/11/2017
- Last Update Date: 10/13/2023
Medicare PECOS Information:
- PECOS PAC ID: 6204283054
- Enrollment ID: I20231115003290
Medical Identifiers
Medical identifiers for Ms Star Ora Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487195327 | NPI | - | NPPES |
29948 | Other | MN | PROFESSIONAL LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | (* (Not Available)) | Secondary |
104100000X | Social Worker | 29948 (Minnesota) | 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. Ms Star Ora Williams allows following entities to bill medicare on her behalf.
Provider Name | Affinity Psychological Services Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1245610856 PECOS PAC ID: 0749528552 Enrollment ID: O20190220001363 |
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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. Ms Star Ora 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 |
Ms Star Ora Williams, MSW, LICSW 7401 Metro Blvd Ste 250, Edina, MN 55439-3062 Ph: (612) 268-5858 | Ms Star Ora Williams, MSW, LICSW 3251 Fernbrook Ln N, Plymouth, MN 55447-5352 Ph: (612) 268-5858 |
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