Ms Johanna Hermina Willemse, BA, MHP in Champaign, IL

Ms Johanna Hermina Willemse, BA, MHP is a medicare enrolled "Counselor - Mental Health" provider in Champaign, Illinois. Her current practice location is 202 W Park Ave, Champaign, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 373-2436.

Ms Johanna Hermina Willemse is licensed to practice in * (Not Available) (license number ) 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 1043406044.

Contact Information

	Ms Johanna Hermina Willemse, BA, MHP
	202 W Park Ave, Champaign, IL 61820-3929
	(217) 373-2436
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Johanna Hermina Willemse
Gender	Female
Speciality	Counselor - Mental Health
Location	202 W Park Ave, Champaign, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043406044
Provider Enumeration Date: 09/24/2007
Last Update Date: 09/24/2007

Medicare PECOS Information:

PECOS PAC ID: 5294996153
Enrollment ID: I20120419000755

Medical Identifiers

Medical identifiers for Ms Johanna Hermina Willemse such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043406044	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	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 Johanna Hermina Willemse allows following entities to bill medicare on her behalf.

Entity Name	All Seasons Counseling Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336815729 PECOS PAC ID: 5193192318 Enrollment ID: O20221101001413

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 Johanna Hermina Willemse 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 Johanna Hermina Willemse, BA, MHP 202 W Park Ave, Champaign, IL 61820-3929 Ph: (217) 373-2436	Ms Johanna Hermina Willemse, BA, MHP 202 W Park Ave, Champaign, IL 61820-3929 Ph: (217) 373-2436

Reviews and Comments

Counselor in Champaign, IL

Staci Poe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 44 E Main St, Ste 406, Champaign, IL 61820 Phone: 217-398-9066 Fax: 217-398-9077
Marie Duffin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 701 Devonshire Dr Ste B16-18, Champaign, IL 61820 Phone: 217-531-2360
Laura Green, LSW Counselor Medicare: Medicare Enrolled Practice Location: 201 W Springfield Ave, Champaign, IL 61820 Phone: 217-693-4918
Jennifer Carleton, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 411 Devonshire Dr, Champaign, IL 61820 Phone: 217-904-3035
Rachel Cooper Brown, MS, LPC Counselor Medicare: Medicare Enrolled Practice Location: 309 W Clark St, Champaign, IL 61820 Phone: 217-398-9066 Fax: 217-398-9077
Whitley Tate, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2104 Windsor Pl Ste A, Champaign, IL 61820 Phone: 217-552-1058 Fax: 855-848-7422

Ms Johanna Hermina Willemse, BA, MHP - Medicare Counselor in Champaign, IL