Eric Lee Willms, PSYD, LP is a medicare enrolled "Psychologist - Clinical" provider in Duluth, Minnesota. He graduated from healthcare school in 2009 and has 17 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Duluth Psychological Clinic Inc and his current practice location is
530 East Second Street, Duluth, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(218) 786-5360.
Eric Lee Willms is licensed to practice in Minnesota (license number 5756) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1437302130.
Healthcare Provider's Profile
| Full Name | Eric Lee Willms |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 17 Years |
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| Location | 530 East Second Street, Duluth, Minnesota |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Eric Lee Willms graduated from medical school in 2009
NPI Data:
- NPI Number: 1437302130
- Provider Enumeration Date: 10/28/2008
- Last Update Date: 01/26/2016
Medicare PECOS Information:
- PECOS PAC ID: 3173782141
- Enrollment ID: I20130312000452
Medical Identifiers
Medical identifiers for Eric Lee Willms such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1437302130 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | 180005328 (Illinois) | Secondary |
| 101YM0800X | Counselor - Mental Health | 180005328 (Illinois) | Secondary |
| 101YP2500X | Counselor - Professional | 180005328 (Illinois) | Secondary |
| 103TC0700X | Psychologist - Clinical | 5756 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Duluth Psychological Clinic Inc | 5395835243 | 3 |
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. Eric Lee Willms allows following entities to bill medicare on his behalf.
| Entity Name | Duluth Psychological Clinic Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730243809
PECOS PAC ID: 5395835243
Enrollment ID: O20071217000252 |
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| Entity Name | Polinsky Medical Rehabilitation Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1639237746
PECOS PAC ID: 0941377360
Enrollment ID: O20150813010438 |
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| Entity Name | Mental Health Specialty Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801472634
PECOS PAC ID: 8921466228
Enrollment ID: O20240709003795 |
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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. Eric Lee Willms 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 |
|---|
Eric Lee Willms, PSYD, LP
530 East Second Street,
Duluth, MN 55805
Ph: (218) 786-5360 | Eric Lee Willms, PSYD, LP
530 East Second Street,
Duluth, MN 55805
Ph: (218) 786-5360 |
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