Jacob Steven Willis, OTR/L in Joint Base Lewis Mcchord, WA - Medicare Occupational Therapist Provider

Jacob Steven Willis, OTR/L is a medicare enrolled "Occupational Therapist" provider in Joint Base Lewis Mcchord, Washington. His current practice location is 9040a Jackson Ave, Joint Base Lewis Mcchord, Washington. You can reach out to his office (for appointments etc.) via phone at (253) 968-1110.

Jacob Steven Willis is licensed to practice in Washington (license number OT61507906) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1184339988.

Contact Information

	Jacob Steven Willis, OTR/L
	9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431-0001
	(253) 968-1110
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacob Steven Willis
Gender	Male
Speciality	Occupational Therapist
Location	9040a Jackson Ave, Joint Base Lewis Mcchord, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184339988
Provider Enumeration Date: 01/17/2023
Last Update Date: 06/03/2024

Medicare PECOS Information:

PECOS PAC ID: 9830624808
Enrollment ID: I20241127002363

Medical Identifiers

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

Identifier	Type	State	Issuer
1184339988	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OT61507906 (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. Jacob Steven Willis allows following entities to bill medicare on his behalf.

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

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. Jacob Steven 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
Jacob Steven Willis, OTR/L 1635 Sequalitchew Dr # M-302, Dupont, WA 98327-6847 Ph: (540) 246-2923	Jacob Steven Willis, OTR/L 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431-0001 Ph: (253) 968-1110

Reviews and Comments

Occupational Therapist in Joint Base Lewis Mcchord, WA

Ms. Celeste Marie La Salvia, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9040 Fitzsimmons Dr, Madigan Army Medical Center-- Occupational Therapy, Joint Base Lewis Mcchord, WA 98431 Phone: 253-968-2330
Melissa Stahl, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431 Phone: 253-968-1110
Dr. Leah Marie Parsons, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9040a Jackson Avenue, Joint Base Lewis Mcchord, WA 98431 Phone: 253-968-2330
Kristopher Klein, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: Madigan Army Medical Center 9040a Jackson Avenue, Joint Base Lewis Mcchord, WA 98431 Phone: 253-968-2330

Jacob Steven Willis, OTR/L - Medicare Occupational Therapist in Joint Base Lewis Mcchord, WA