Diane Janice Willis, PHD in Norman, OK - Medicare Psychologist Provider

Diane Janice Willis, PHD is a medicare enrolled "Psychologist - Clinical Child & Adolescent" provider in Norman, Oklahoma. Her current practice location is 4520 Ridgeline Dr, Norman, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (405) 364-9091.

Diane Janice Willis is licensed to practice in Oklahoma (license number 164) 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 1306016118.

Contact Information

	Diane Janice Willis, PHD
	4520 Ridgeline Dr, Norman, OK 73072-1729
	(405) 364-9091
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Diane Janice Willis
Gender	Female
Speciality	Psychologist - Clinical Child & Adolescent
Location	4520 Ridgeline Dr, Norman, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306016118
Provider Enumeration Date: 03/07/2008
Last Update Date: 03/07/2008

Medicare PECOS Information:

PECOS PAC ID: 9436322211
Enrollment ID: I20111024000708

Medical Identifiers

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

Identifier	Type	State	Issuer
1306016118	NPI	-	NPPES
1202405	Medicaid	OK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC2200X	Psychologist - Clinical Child & Adolescent	164 (Oklahoma)	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. Diane Janice Willis allows following entities to bill medicare on her behalf.

Entity Name	Watonga Indian Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558458794 PECOS PAC ID: 9032010111 Enrollment ID: O20040120001001

Entity Name	El Reno Indian Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386725604 PECOS PAC ID: 5193627263 Enrollment ID: O20040121000487

Entity Name	Clinton Indian Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205923448 PECOS PAC ID: 2163324237 Enrollment ID: O20040121000506

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. Diane Janice 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
Diane Janice Willis, PHD 4520 Ridgeline Dr, Norman, OK 73072-1729 Ph: (405) 364-9091	Diane Janice Willis, PHD 4520 Ridgeline Dr, Norman, OK 73072-1729 Ph: (405) 364-9091

Reviews and Comments

Psychologist in Norman, OK

Dr. Justin Wyckoff, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 620 Elm Ave, Suite 201, Norman, OK 73019 Phone: 405-325-2911
Dr. Jenny Bendure, PH.D. Psychologist Medicare: May Accept Medicare Assignments Practice Location: 4330 Adams Rd Ste 100, Norman, OK 73069 Phone: 405-701-8400 Fax: 405-253-0490
Dr. Aubrey O. Washington, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1125 N Porter Ave, Suite 303, Norman, OK 73071 Phone: 405-364-3804 Fax: 405-292-3640
Dr. Mary Jane Argentos, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1300 Mcgee Dr, Norman, OK 73072 Phone: 405-360-4433 Fax: 405-329-6997
Dr. Shelli Shultz Jackson, PH.D. Psychologist Medicare: May Accept Medicare Assignments Practice Location: 2500 Boardwalk Ste 203, Norman, OK 73069 Phone: 405-329-8501 Fax: 405-253-0581
Mrs. Ashley Roby, B.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 909 East Alameda, Norman, OK 73071 Phone: 405-573-6481 Fax: 405-573-6488
Dr. Susan Stout Howard, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 770 W Rock Creek Rd Ste 105, Norman, OK 73069 Phone: 405-308-2657

Diane Janice Willis, PHD - Medicare Psychologist in Norman, OK