Mrs Karen Jane Willis, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Mt Clemens, Michigan. Her current practice location is
2 Crocker Blvd, Suite 101, Mt Clemens, Michigan. You can reach out to her office (for appointments etc.) via phone at
(586) 468-2266.
Mrs Karen Jane Willis is licensed to practice in Michigan (license number 6801085204) 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 1760608517.
Healthcare Provider's Profile
| Full Name | Mrs Karen Jane Willis |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 2 Crocker Blvd, Mt Clemens, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1760608517
- Provider Enumeration Date: 04/18/2007
- Last Update Date: 08/27/2012
Medicare PECOS Information:
- PECOS PAC ID: 5193811594
- Enrollment ID: I20071017000178
Medical Identifiers
Medical identifiers for Mrs Karen Jane Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1760608517 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 6801085204 (Michigan) | 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 Karen Jane Willis allows following entities to bill medicare on her behalf.
| Entity Name | Rivers Bend Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265520209 PECOS PAC ID: 1052302874 Enrollment ID: O20040526000958 |
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| Entity Name | Mielke & Weeks, P. C. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144398504 PECOS PAC ID: 4587856422 Enrollment ID: O20101011000125 |
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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 Karen Jane 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 Karen Jane Willis, LMSW 2522 Woodchase Ct, Sterling Heights, MI 48310-7118 Ph: (248) 928-3029 | Mrs Karen Jane Willis, LMSW 2 Crocker Blvd, Suite 101, Mt Clemens, MI 48043-2558 Ph: (586) 468-2266 |
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