Kathryn Willis, MS in Lakewood, WA - Medicare Counselor Provider

Kathryn Willis, MS is a medicare enrolled "Counselor - Mental Health" provider in Lakewood, Washington. Her current practice location is 9330 59th Ave Sw, Lakewood, Washington. You can reach out to her office (for appointments etc.) via phone at (253) 620-5015.

Kathryn Willis is licensed to practice in Washington (license number LH61169771) 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 1013432848.

Contact Information

	Kathryn Willis, MS
	9330 59th Ave Sw, Lakewood, WA 98499-2858
	(253) 620-5015
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kathryn Willis
Gender	Female
Speciality	Counselor - Mental Health
Location	9330 59th Ave Sw, Lakewood, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013432848
Provider Enumeration Date: 08/14/2017
Last Update Date: 07/20/2022

Medicare PECOS Information:

PECOS PAC ID: 9638521560
Enrollment ID: I20240117000146

Medical Identifiers

Medical identifiers for Kathryn Willis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013432848	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LH61169771 (Washington)	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. Kathryn Willis allows following entities to bill medicare on her behalf.

Entity Name	Multicare Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760

Entity Name	Greater Lakes Mental Health Foundation Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225039811 PECOS PAC ID: 7315836350 Enrollment ID: O20040315001162

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. Kathryn 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
Kathryn Willis, MS 9330 59th Ave Sw, Lakewood, WA 98499-2858 Ph: () -	Kathryn Willis, MS 9330 59th Ave Sw, Lakewood, WA 98499-2858 Ph: (253) 620-5015

Reviews and Comments

Counselor in Lakewood, WA

Claudia Hockett, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 9330 59th Ave Sw, Lakewood, WA 98499 Phone: 253-620-5042
Ms. Tammy Marie Stewart, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 9330 59th Ave Sw, Lakewood, WA 98499 Phone: 253-620-5833 Fax: 253-620-5789
Ms. Sabrina Lavonne Thompson, AAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 9330 59th Ave Sw, Lakewood, WA 98499 Phone: 253-620-5015 Fax: 253-620-5831
Alida Rothgeb, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9330 59th Ave Sw, Lakewood, WA 98499 Phone: 253-620-7020
Samantha Smith, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 9330 59th Ave Sw, Lakewood, WA 98499 Phone: 253-620-5015
Ashley Pettis, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 9330 59th Ave Sw, Lakewood, WA 98499 Phone: 253-620-5015
Tracey Wilber, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 9330 59th Ave Sw, Lakewood, WA 98499 Phone: 253-620-5015

Kathryn Willis, MS - Medicare Counselor in Lakewood, WA