Katelyn Rose Willis, DPT - Medicare Physical Therapist in Boonville, IN

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Katelyn Rose Willis, DPT is a medicare enrolled "Physical Therapist" provider in Boonville, Indiana. Her current practice location is 3070 Warrick Dr, Boonville, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 641-0076.

Katelyn Rose Willis is licensed to practice in Indiana (license number 05015264A) 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 1306528518.

Contact Information

Katelyn Rose Willis, DPT
3070 Warrick Dr,
Boonville, IN 47601-9658
(812) 641-0076
(812) 641-0268

Map and Direction




Healthcare Provider's Profile

Full NameKatelyn Rose Willis
GenderFemale
SpecialityPhysical Therapist
Location3070 Warrick Dr, Boonville, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1306528518
  • Provider Enumeration Date: 08/07/2023
  • Last Update Date: 08/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5597127886
  • Enrollment ID: I20230818000242

Medical Identifiers

Medical identifiers for Katelyn Rose Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306528518NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 05015264A (Indiana)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. Katelyn Rose Willis allows following entities to bill medicare on her behalf.
Provider NameProrehab Inc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1770565509
PECOS PAC ID: 1254317217
Enrollment ID: O20061219000040
Provider NameTri-state Orthopaedic Surgeons Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1073501003
PECOS PAC ID: 6800781949
Enrollment ID: O20080228000136

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. Katelyn Rose 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 AddressPractice Location Address
Katelyn Rose Willis, DPT
1650 Lyndon Farm Ct Ste 300,
Louisville, KY 40223-5005

Ph: (502) 882-9379		Katelyn Rose Willis, DPT
3070 Warrick Dr,
Boonville, IN 47601-9658

Ph: (812) 641-0076

Reviews and Comments


Physical Therapist in Boonville, IN

Cathy Lynne Gearhart, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 305 E North St, Boonville, IN 47601
Phone: 812-897-2810    
Prorehab, Inc
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 3070 Warrick Dr, Boonville, IN 47601
Phone: 812-641-0076    Fax: 812-641-0268
Amy Christina Yunker, M.P.T.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1579 S Folsomville Rd, Boonville, IN 47601
Phone: 812-897-4840    
Stephen Andrew Meyer,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1116 Millis Ave, Boonville, IN 47601
Phone: 812-897-7158    Fax: 812-897-7361

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.