Evan Michael Willmore, LCSW in Granite City, IL - Medicare Social Worker Provider

Evan Michael Willmore, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Granite City, Illinois. His current practice location is 50 Northgate Industrial Dr, Granite City, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 877-4420.

Evan Michael Willmore is licensed to practice in Illinois (license number 149.024489) 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 1710621271.

Contact Information

	Evan Michael Willmore, LCSW
	50 Northgate Industrial Dr, Granite City, IL 62040-6805
	(618) 877-4420
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Evan Michael Willmore
Gender	Male
Speciality	Social Worker - Clinical
Location	50 Northgate Industrial Dr, Granite City, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710621271
Provider Enumeration Date: 04/21/2022
Last Update Date: 04/21/2022

Medicare PECOS Information:

PECOS PAC ID: 9739576075
Enrollment ID: I20220504002780

Medical Identifiers

Medical identifiers for Evan Michael Willmore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710621271	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149.024489 (Illinois)	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. Evan Michael Willmore allows following entities to bill medicare on his behalf.

Entity Name	Chestnut Health Systems, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366431686 PECOS PAC ID: 1052393063 Enrollment ID: O20040603000738

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. Evan Michael Willmore 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
Evan Michael Willmore, LCSW 448 Wylie Dr, Normal, IL 61761-5405 Ph: (618) 512-1803	Evan Michael Willmore, LCSW 50 Northgate Industrial Dr, Granite City, IL 62040-6805 Ph: (618) 877-4420

Reviews and Comments

Social Worker in Granite City, IL

Tanya M Parker, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 50 Northgate Industrial Dr, Granite City, IL 62040 Phone: 618-877-4420
Miss Ashtin Sechrest, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 117 Chouteau Trace Pkwy, Granite City, IL 62040 Phone: 618-593-5707
Hannah Dismer, LCSW, MSW, MPH, CSE Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1602 21st St, Granite City, IL 62040 Phone: 618-451-5722 Fax: 618-451-9092
Ms. Patricia Ann Northcutt, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 50 Northgate Industrial Dr, Granite City, IL 62040 Phone: 618-877-4420 Fax: 618-877-9250
Linda Hylla, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 50 Northgate Industrial Dr, Granite City, IL 62040 Phone: 618-877-4420
Amy Lowe, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 50 Northgate Industrial Dr, Granite City, IL 62040 Phone: 618-877-4420 Fax: 618-877-9250
Ms. Margaret A Feinberg, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2350 Benton Street, Granite City, IL 62040 Phone: 618-877-0709 Fax: 618-877-8159

Evan Michael Willmore, LCSW - Medicare Clinical Social Worker in Granite City, IL