Evan T Willis, | |
4601 Hartford St, Abilene, TX 79605-4603 | |
(325) 793-3400 | |
(325) 793-3587 |
Full Name | Evan T Willis |
---|---|
Gender | Male |
Speciality | Occupational Therapy |
Experience | 3 Years |
Location | 4601 Hartford St, Abilene, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295491058 | NPI | - | NPPES |
122210 | Other | TX | COMMERCIAL |
122210 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 122210 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The West Texas Rehabilitation Center | 2860301215 | 336 |
Provider Name | The West Texas Rehabilitation Center |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1922112499 PECOS PAC ID: 2860301215 Enrollment ID: O20120620000597 |
Mailing Address | Practice Location Address |
---|---|
Evan T Willis, 4601 Hartford St, Abilene, TX 79605-4603 Ph: (325) 793-3400 | Evan T Willis, 4601 Hartford St, Abilene, TX 79605-4603 Ph: (325) 793-3400 |
Carmelita Avila-neie, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1934 Hickory St, Abilene, TX 79601 Phone: 325-670-6366 | |
Sparrow Kids Pediatric Therapy Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 257 Long Ranger Rd, Abilene, TX 79602 Phone: 325-232-1023 | |
Miss Carrie Lynn Foster, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4601 Hartford St, Abilene, TX 79605 Phone: 325-793-3400 Fax: 325-793-3587 | |
Mrs. Lindsey N Stawarczik, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2722 Old Anson Rd, Abilene, TX 79603 Phone: 325-676-1677 | |
Mrs. Rebecca Suzanne Estes, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4601 Hartford St, Abilene, TX 79605 Phone: 325-793-3452 Fax: 325-793-3549 | |
Mr. Todd D Sage, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1934 Hickory St, Abilene, TX 79601 Phone: 325-670-6365 Fax: 325-670-6021 | |
Kelsey N Gries, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4601 Hartford St, Abilene, TX 79605 Phone: 325-793-3400 Fax: 325-793-3587 |