Ann Willis, in Encino, CA - Medicare Speech-Language Pathologist Provider

Ann Willis, is a medicare enrolled "Speech-language Pathologist" provider in Encino, California. Her current practice location is 17609 Ventura Blvd Ste 215, Encino, California. You can reach out to her office (for appointments etc.) via phone at (818) 501-8352.

Ann 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 1063814903.

Contact Information

	Ann Willis,
	17609 Ventura Blvd Ste 215, Encino, CA 91316-5126
	(818) 501-8352
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ann Willis
Gender	Female
Speciality	Speech-language Pathologist
Location	17609 Ventura Blvd Ste 215, Encino, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063814903
Provider Enumeration Date: 09/23/2014
Last Update Date: 10/24/2021

Medicare PECOS Information:

PECOS PAC ID: 5799095022
Enrollment ID: I20151117000582

Medical Identifiers

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

Identifier	Type	State	Issuer
1063814903	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	(* (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. Ann Willis allows following entities to bill medicare on her behalf.

Provider Name	Southern California Permanente Medical Group
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Ann 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
Ann Willis, 17609 Ventura Blvd Ste 215, Encino, CA 91316-5126 Ph: (818) 501-8352	Ann Willis, 17609 Ventura Blvd Ste 215, Encino, CA 91316-5126 Ph: (818) 501-8352

Reviews and Comments

Speech-Language Pathologist in Encino, CA

Mrs. Jamie Diana Frost, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 16500 Ventura Blvd, Encino, CA 91436 Phone: 818-788-1003
Molly Marr-york, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 16500 Ventura Blvd Ste 414, Encino, CA 91436 Phone: 818-788-1003 Fax: 818-788-1135
Shelby Purmort, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 16055 Ventura Blvd, Encino, CA 91436 Phone: 818-835-1868
Sara Kubota, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 16500 Ventura Blvd Ste 414, Encino, CA 91436 Phone: 818-788-1003
Aiyana Smith, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 16500 Ventura Blvd Ste 414, Encino, CA 91436 Phone: 818-788-1003
Miss Vicki Chia Hui Lin, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 5292 Newcastle Ave Apt 4, Encino, CA 91316 Phone: 310-985-9866
Zahid Khan, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 16500 Ventura Blvd Ste 414, Encino, CA 91436 Phone: 818-788-1003 Fax: 818-788-1135

Ann Willis, - Medicare Speech-Language Pathologist in Encino, CA