Mrs Jayna Nichole Willis, MS CCC-SLP in Bowling Green, KY - Medicare Speech-Language Pathologist Provider

Mrs Jayna Nichole Willis, MS CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Bowling Green, Kentucky. Her current practice location is 1381 Campbell Ln, Bowling Green, Kentucky. You can reach out to her office (for appointments etc.) via phone at (270) 843-0587.

Mrs Jayna Nichole Willis is licensed to practice in Kentucky (license number 142455) 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 1447765136.

Contact Information

	Mrs Jayna Nichole Willis, MS CCC-SLP
	1381 Campbell Ln, Bowling Green, KY 42104-1049
	(270) 843-0587
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Jayna Nichole Willis
Gender	Female
Speciality	Speech-language Pathologist
Location	1381 Campbell Ln, Bowling Green, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447765136
Provider Enumeration Date: 12/04/2017
Last Update Date: 12/04/2017

Medicare PECOS Information:

PECOS PAC ID: 6204283641
Enrollment ID: I20231107002685

Medical Identifiers

Medical identifiers for Mrs Jayna Nichole Willis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447765136	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	142455 (Kentucky)	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 Jayna Nichole Willis allows following entities to bill medicare on her behalf.

Provider Name	Powerback Rehabilitation Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1063014405 PECOS PAC ID: 2365359932 Enrollment ID: O20210323001374

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 Jayna Nichole 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 Jayna Nichole Willis, MS CCC-SLP 239 W Mclellan Rd, Bowling Green, KY 42101-8891 Ph: (270) 784-7690	Mrs Jayna Nichole Willis, MS CCC-SLP 1381 Campbell Ln, Bowling Green, KY 42104-1049 Ph: (270) 843-0587

Reviews and Comments

Speech-Language Pathologist in Bowling Green, KY

Amanda Sadler, M.S. CFY-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5855 Richpond Rd, Bowling Green, KY 42104 Phone: 270-535-1853
Adair Mcalister, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5079 Scottsville Rd, Bowling Green, KY 42104 Phone: 270-999-4626
Cora Spiller, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1053 Lovers Ln, Bowling Green, KY 42103 Phone: 270-807-0335
Amanda Nicole Webb, M.S., CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 980 Morgantown Rd, Bowling Green, KY 42101 Phone: 270-495-1312
Mrs. Miranda Mize Hunt, MS, CCC-SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 5079 Scottsville Rd, Bowling Green, KY 42104 Phone: 270-781-2462
Ashley Marie Sterchi, M.S. CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: The Kid Spot Center, 944 Fields Dr. #102, Bowling Green, KY 42104 Phone: 270-495-1312
Olivia Grace Jones, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 952 Fairview Ave Ste 4, Bowling Green, KY 42101 Phone: 270-938-0101

Mrs Jayna Nichole Willis, MS CCC-SLP - Medicare Speech-Language Pathologist in Bowling Green, KY