Stacey Latrice Willis, OTR/L in Arlington, TN - Medicare Occupational Therapist Provider

Stacey Latrice Willis, OTR/L is a medicare enrolled "Occupational Therapist" provider in Arlington, Tennessee. Her current practice location is 4513 Jon Stone Ln, Arlington, Tennessee. You can reach out to her office (for appointments etc.) via phone at (901) 461-0621.

Stacey Latrice Willis is licensed to practice in Tennessee (license number 2827) 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 1962760066.

Contact Information

	Stacey Latrice Willis, OTR/L
	4513 Jon Stone Ln, Arlington, TN 38002-7536
	(901) 461-0621
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Stacey Latrice Willis
Gender	Female
Speciality	Occupational Therapist
Location	4513 Jon Stone Ln, Arlington, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962760066
Provider Enumeration Date: 04/26/2012
Last Update Date: 04/26/2012

Medicare PECOS Information:

PECOS PAC ID: 6002872173
Enrollment ID: I20041209000822

Medical Identifiers

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

Identifier	Type	State	Issuer
1962760066	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	2827 (Tennessee)	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. Stacey Latrice Willis allows following entities to bill medicare on her behalf.

Provider Name	Healthpro Heritage Rehab & Fitness Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1376073262 PECOS PAC ID: 6507832573 Enrollment ID: O20171003005084

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. Stacey Latrice 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
Stacey Latrice Willis, OTR/L 4513 Jon Stone Ln, Arlington, TN 38002-7536 Ph: (901) 461-0621	Stacey Latrice Willis, OTR/L 4513 Jon Stone Ln, Arlington, TN 38002-7536 Ph: (901) 461-0621

Reviews and Comments

Occupational Therapist in Arlington, TN

Katlyn A Walker, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9263 Osborn Rd, Arlington, TN 38002 Phone: 901-496-1057 Fax: 901-829-2304
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Accent Adhd Support Services, Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12181 Brooks Village Dr, Arlington, TN 38002 Phone: 901-237-3420
Dennis Jaurigue, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 12222 Grand Ridge Ln, Arlington, TN 38002 Phone: 901-708-9766

Stacey Latrice Willis, OTR/L - Medicare Occupational Therapist in Arlington, TN