Ebony De-shonia Willis, in Dearborn, MI - Medicare Counselor Provider

Ebony De-shonia Willis, is a medicare enrolled "Counselor - Mental Health" provider in Dearborn, Michigan. Her current practice location is 835 Mason St Ste B295-a, Dearborn, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 265-0890.

Ebony De-shonia Willis is licensed to practice in Michigan (license number 6401223961) 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 1487205787.

Contact Information

	Ebony De-shonia Willis,
	835 Mason St Ste B295-a, Dearborn, MI 48124-2231
	(734) 265-0890
	(734) 895-3957

Map and Direction

Healthcare Provider's Profile

Full Name	Ebony De-shonia Willis
Gender	Female
Speciality	Counselor - Mental Health
Location	835 Mason St Ste B295-a, Dearborn, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487205787
Provider Enumeration Date: 09/27/2019
Last Update Date: 10/06/2025

Medicare PECOS Information:

PECOS PAC ID: 5294278305
Enrollment ID: I20240618000703

Medical Identifiers

Medical identifiers for Ebony De-shonia Willis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487205787	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	6401223961 (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. Ebony De-shonia Willis allows following entities to bill medicare on her behalf.

Entity Name	Hegira Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184684979 PECOS PAC ID: 3173429560 Enrollment ID: O20031208000753

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. Ebony De-shonia 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
Ebony De-shonia Willis, 835 Mason St Ste B295-a, Dearborn, MI 48124-2231 Ph: (734) 265-0890	Ebony De-shonia Willis, 835 Mason St Ste B295-a, Dearborn, MI 48124-2231 Ph: (734) 265-0890

Reviews and Comments

Counselor in Dearborn, MI

Rajah Ismail, LLMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 6450 Maple St, Dearborn, MI 48126 Phone: 313-216-2200 Fax: 313-584-3622
Phoenix Greenwood-haller, Counselor Medicare: Medicare Enrolled Practice Location: 1 Parklane Blvd # 200e, Dearborn, MI 48126 Phone: 313-846-2606 Fax: 313-846-2657
Kathryn Landfair, Counselor Medicare: Not Enrolled in Medicare Practice Location: 19855 Outer Dr Ste 300w, Dearborn, MI 48124 Phone: 313-359-1977
Mrs. Nneka Jean Owens, MA LPC NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 22190 Garrison St, Suite 204, Dearborn, MI 48124 Phone: 313-769-5705 Fax: 313-769-6008
Mr. John Hansen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5075 Argyle St, Dearborn, MI 48126 Phone: 313-909-9390
Mrs. Lisa Michelle Green, LPC Counselor Medicare: Medicare Enrolled Practice Location: 835 Mason St Ste B220, Dearborn, MI 48124 Phone: 313-561-9064
Mr. Jeffrey Wallace Spier, M.A., L.L.P., CEAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 23400 Michigan Ave, Suite 702, Dearborn, MI 48124 Phone: 313-274-7010 Fax: 313-274-3010

Ebony De-shonia Willis, - Medicare Counselor in Dearborn, MI