Kelly Willis, in Wilsonville, OR - Medicare Occupational Therapist Provider

Kelly Willis, is a medicare enrolled "Occupational Therapist" provider in Wilsonville, Oregon. Her current practice location is 25117 Sw Parkway Ave Ste D, Wilsonville, Oregon. You can reach out to her office (for appointments etc.) via phone at (971) 364-0611.

Kelly Willis 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 1558007138.

Contact Information

	Kelly Willis,
	25117 Sw Parkway Ave Ste D, Wilsonville, OR 97070-9697
	(971) 364-0611
	(971) 364-0610

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Willis
Gender	Female
Speciality	Occupational Therapist
Location	25117 Sw Parkway Ave Ste D, Wilsonville, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558007138
Provider Enumeration Date: 05/07/2022
Last Update Date: 05/07/2022

Medicare PECOS Information:

PECOS PAC ID: 6709264732
Enrollment ID: I20220603001703

Medical Identifiers

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

Identifier	Type	State	Issuer
1558007138	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	(* (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. Kelly Willis allows following entities to bill medicare on her behalf.

Provider Name	Premere Rehab Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1255639555 PECOS PAC ID: 2567434764 Enrollment ID: O20110526000548

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. Kelly 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
Kelly Willis, 25117 Sw Parkway Ave Ste D, Wilsonville, OR 97070-9697 Ph: () -	Kelly Willis, 25117 Sw Parkway Ave Ste D, Wilsonville, OR 97070-9697 Ph: (971) 364-0611

Reviews and Comments

Occupational Therapist in Wilsonville, OR

Ismira Still, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 30900 Sw Parkway Ave, Wilsonville, OR 97070 Phone: 503-682-2840
Mrs. Lora Bea Smith, MS, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 8995 Sw Miley Rd Ste 109, Wilsonville, OR 97070 Phone: 503-694-8366 Fax: 503-694-8581
Mrs. Carla Yvonne Hayden, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 25117 Sw Parkway Ave Ste D, Wilsonville, OR 97070 Phone: 503-570-3665
Trenton Michael Smith, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 25117 Sw Parkway Ave, Suite D, Wilsonville, OR 97070 Phone: 888-757-3422
Olga Carlstrom, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 25117 Sw Parkway Ave Ste D, Wilsonville, OR 97070 Phone: 503-570-3665 Fax: 888-653-6177
Allison Kimberly Neisen, OTD, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 25117 Sw Parkway Ave Ste D, Wilsonville, OR 97070 Phone: 971-255-4079
Melinda R Mulligan, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 25117 Sw Parkway Ave, Ste D, Wilsonville, OR 97070 Phone: 503-570-3665

Kelly Willis, - Medicare Occupational Therapist in Wilsonville, OR