Ms Jennifer Lee Willis, LCSW in Tempe, AZ - Medicare Social Worker Provider

Ms Jennifer Lee Willis, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Tempe, Arizona. Her current practice location is 2120 S Mcclintock Dr, Suite 105, Tempe, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 804-0326.

Ms Jennifer Lee Willis is licensed to practice in Arizona (license number LCSW-12065) 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 1700032265.

Contact Information

	Ms Jennifer Lee Willis, LCSW
	2120 S Mcclintock Dr, Suite 105, Tempe, AZ 85282-2692
	(480) 804-0326
	(480) 804-0083

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Jennifer Lee Willis
Gender	Female
Speciality	Social Worker - Clinical
Location	2120 S Mcclintock Dr, Tempe, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700032265
Provider Enumeration Date: 08/14/2008
Last Update Date: 04/23/2017

Medicare PECOS Information:

PECOS PAC ID: 9537312319
Enrollment ID: I20130102000389

Medical Identifiers

Medical identifiers for Ms Jennifer Lee Willis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700032265	NPI	-	NPPES
734909	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCSW-12065 (Arizona)	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 Jennifer Lee Willis allows following entities to bill medicare on her behalf.

Entity Name	Crisis Preparation And Recovery Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588720650 PECOS PAC ID: 3173624384 Enrollment ID: O20070718000308

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 Jennifer Lee Willis 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 Jennifer Lee Willis, LCSW 1400 E. Southern Ave, Ste. 735, Tempe, AZ 85282-2692 Ph: (480) 804-0326	Ms Jennifer Lee Willis, LCSW 2120 S Mcclintock Dr, Suite 105, Tempe, AZ 85282-2692 Ph: (480) 804-0326

Reviews and Comments

Social Worker in Tempe, AZ

Amy Burnside, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3910 S Rural Rd, Suite J, Tempe, AZ 85282 Phone: 480-317-9868 Fax: 480-317-9867
Carrie Holmes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8400 S Kyrene Rd Ste 224, Tempe, AZ 85284 Phone: 480-534-3795
Mr. David A. Mcgowan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1642 S Priest Dr, Bldg 6, Ste 101, Tempe, AZ 85281 Phone: 480-929-5100 Fax: 480-731-1066
Maria Elena Castro, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1642 S. Priest Drive, Bldg 6, Ste 101, Tempe, AZ 85281 Phone: 602-685-6000 Fax: 480-731-1066
Sheryl Walden, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2177 E Warner Rd, Tempe, AZ 85284 Phone: 909-224-6682
Jean M Sokol, LCSW, LISAC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2435 E Southern Ave, Suite 4, Tempe, AZ 85282 Phone: 480-522-4113 Fax: 480-924-4469
Heba Elsaad, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4535 S Lakeshore Dr Ste 6, Tempe, AZ 85282 Phone: 747-222-2179

Ms Jennifer Lee Willis, LCSW - Medicare Clinical Social Worker in Tempe, AZ