Mrs Melissa J Willis, PT in Bolivia, NC - Medicare Physical Therapist Provider

Mrs Melissa J Willis, PT is a medicare enrolled "Physical Therapist" provider in Bolivia, North Carolina. Her current practice location is 2819 Midway Rd Se Ste 114, Bolivia, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 253-9964.

Mrs Melissa J Willis is licensed to practice in North Carolina (license number 9358) 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 1447333000.

Contact Information

	Mrs Melissa J Willis, PT
	2819 Midway Rd Se Ste 114, Bolivia, NC 28422
	(910) 253-9964
	(910) 253-6934

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Melissa J Willis
Gender	Female
Speciality	Physical Therapist
Location	2819 Midway Rd Se Ste 114, Bolivia, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447333000
Provider Enumeration Date: 10/24/2006
Last Update Date: 07/05/2018

Medicare PECOS Information:

PECOS PAC ID: 3173590288
Enrollment ID: I20040916000503

Medical Identifiers

Medical identifiers for Mrs Melissa J Willis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447333000	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	9358 (North Carolina)	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. Mrs Melissa J Willis allows following entities to bill medicare on her behalf.

Provider Name	Integrated Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1326247248 PECOS PAC ID: 1153317300 Enrollment ID: O20150109002041

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. Mrs Melissa J 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
Mrs Melissa J Willis, PT 1200 Corporate Dr Ste 400, Birmingham, AL 35242-5424 Ph: (423) 682-8840	Mrs Melissa J Willis, PT 2819 Midway Rd Se Ste 114, Bolivia, NC 28422 Ph: (910) 253-9964

Reviews and Comments

Physical Therapist in Bolivia, NC

Jonathan Lindau, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2819 Midway Rd Se Ste 114, Bolivia, NC 28422 Phone: 910-253-9964
Nicholas Matthew Brooker, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2819 Midway Rd Se Ste 114, Bolivia, NC 28422 Phone: 910-253-9964
Amanda Marie Montgomery, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2819 Midway Rd Se Ste 114, Bolivia, NC 28422 Phone: 910-253-6930 Fax: 910-253-6934
Mrs. Maureen E O'brien, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2819 Midway Rd Se Ste 114, Bolivia, NC 28422 Phone: 910-457-4789 Fax: 910-457-5824
Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2819 Midway Rd Se Ste 114, Bolivia, NC 28422 Phone: 910-253-6930 Fax: 910-253-6934
Ryan Williams, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2819 Midway Rd Se Ste 114, Bolivia, NC 28422 Phone: 910-253-9964

Mrs Melissa J Willis, PT - Medicare Physical Therapist in Bolivia, NC