Tiaira Mikal Willis, in Monroe, LA - Medicare Counselor Provider

Tiaira Mikal Willis, is a medicare enrolled "Counselor - Professional" provider in Monroe, Louisiana. Her current practice location is 3100 Kilpatrick Blvd Ste 100, Monroe, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 325-8050.

Tiaira Mikal Willis is licensed to practice in Louisiana (license number 7684) 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 1033621917.

Contact Information

	Tiaira Mikal Willis,
	3100 Kilpatrick Blvd Ste 100, Monroe, LA 71201-5156
	(318) 325-8050
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tiaira Mikal Willis
Gender	Female
Speciality	Counselor - Professional
Location	3100 Kilpatrick Blvd Ste 100, Monroe, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033621917
Provider Enumeration Date: 10/31/2017
Last Update Date: 06/10/2024

Medicare PECOS Information:

PECOS PAC ID: 1759730435
Enrollment ID: I20231206002140

Medical Identifiers

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

Identifier	Type	State	Issuer
1033621917	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	(* (Not Available))	Secondary
101YM0800X	Counselor - Mental Health	90118 (Texas)	Secondary
171M00000X	Case Manager/care Coordinator	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	7684 (Louisiana)	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. Tiaira Mikal Willis allows following entities to bill medicare on her behalf.

Entity Name	Brave Health Medical Group, P.a
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225669161 PECOS PAC ID: 9537586052 Enrollment ID: O20231220003268

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. Tiaira Mikal 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
Tiaira Mikal Willis, 3100 Kilpatrick Blvd Ste 100, Monroe, LA 71201-5156 Ph: (318) 325-8050	Tiaira Mikal Willis, 3100 Kilpatrick Blvd Ste 100, Monroe, LA 71201-5156 Ph: (318) 325-8050

Reviews and Comments

Counselor in Monroe, LA

Larry Brown, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1162 Oliver Rd, Monroe, LA 71201 Phone: 318-340-1535
Kristi Magee, Counselor Medicare: Not Enrolled in Medicare Practice Location: 806 N 31st St, Monroe, LA 71201 Phone: 318-570-2981 Fax: 318-816-5102
Kelsee S Harris, Counselor Medicare: Not Enrolled in Medicare Practice Location: 806 N 31st St Ste D, Monroe, LA 71201 Phone: 318-855-3868 Fax: 318-537-9688
Alexis Price, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2414 Ferrand St, Ste. 2, Monroe, LA 71201 Phone: 318-342-9979 Fax: 318-342-9980
Heather Honeycutt, CIT Counselor Medicare: Not Enrolled in Medicare Practice Location: 4600 Reddix Ln, Monroe, LA 71202 Phone: 318-582-4480
Ms. Mary Louise Lewis, MA, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3200 Concordia Ave, Monroe, LA 71201 Phone: 318-362-5188
Mrs. Donna J George, L.P.C.-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 1904 Royal Ave, Monroe, LA 71201 Phone: 318-323-1505 Fax: 318-323-1361

Tiaira Mikal Willis, - Medicare Counselor in Monroe, LA