Mrs Kathleen Anne Willis, MA CCC SLP in Tampa, FL - Medicare Qualified Speech Language Pathologist Provider

Mrs Kathleen Anne Willis, MA CCC SLP is a medicare enrolled "Speech-language Pathologist" provider in Tampa, Florida. She graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Qualified Speech Language Pathologist. She is a member of the group practice Kernaghan And Moore Speech And Language Therapy Services, Inc. and her current practice location is 6508 Gunn Hwy, Tampa, Florida. You can reach out to her office (for appointments etc.) via phone at (813) 963-6923.

Mrs Kathleen Anne Willis is licensed to practice in Florida (license number SA7131) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1003966193.

Contact Information

	Mrs Kathleen Anne Willis, MA CCC SLP
	6508 Gunn Hwy, Tampa, FL 33625-4022
	(813) 963-6923
	(813) 264-0768

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Kathleen Anne Willis
Gender	Female
Speciality	Qualified Speech Language Pathologist
Experience	25 Years
Location	6508 Gunn Hwy, Tampa, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Kathleen Anne Willis graduated from medical school in 1999

NPI Data:

NPI Number: 1003966193
Provider Enumeration Date: 01/11/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 7012251465
Enrollment ID: I20181212000254

Medical Identifiers

Medical identifiers for Mrs Kathleen Anne Willis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003966193	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	SA7131 (Florida)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kernaghan And Moore Speech And Language Therapy Services, Inc.	2365594579	11

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 Kathleen Anne Willis allows following entities to bill medicare on her behalf.

Provider Name	Kernaghan And Moore: Speech And Language Therapy Services, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1467693192 PECOS PAC ID: 2365594579 Enrollment ID: O20090720000377

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 Kathleen Anne 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 Kathleen Anne Willis, MA CCC SLP 6508 Gunn Hwy, Independent Living Inc, Tampa, FL 33625-4022 Ph: (813) 963-6923	Mrs Kathleen Anne Willis, MA CCC SLP 6508 Gunn Hwy, Tampa, FL 33625-4022 Ph: (813) 963-6923

Reviews and Comments

Speech-Language Pathologist in Tampa, FL

Mrs. Yvette G Nackers, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6508 Gunn Highway, Independent Living Inc, Tampa, FL 33625 Phone: 813-963-6923 Fax: 813-264-0768
Chatterbox Speech & Feeding Therapy Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1737 W North A St, Tampa, FL 33606 Phone: 813-924-0348 Fax: 813-793-4675
Lara Quesada, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4555 S Manhattan Ave, Tampa, FL 33611 Phone: 813-839-6341
Demelza Pendarvis-gray, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6508 Gunn Hwy, Tampa, FL 33625 Phone: 813-963-6923 Fax: 813-264-0768
Success Speech Therapy, Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4817 Ehrlich Rd, Tampa, FL 33624 Phone: 877-823-4283
Rachel Rose Knowlton, M.S., CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6924 W Linebaugh Ave, Tampa, FL 33625 Phone: 813-962-6766
Mrs. Harriet Debra Bladuell, MSCCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 13542 N Florida Ave, Suite 213f, Tampa, FL 33613 Phone: 813-323-5748 Fax: 813-319-5835

Mrs Kathleen Anne Willis, MA CCC SLP - Medicare Speech-Language Pathologist in Tampa, FL