Mr Brian E Willis, LMHC in Milton, FL - Medicare Counselor Provider

Mr Brian E Willis, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Milton, Florida. His current practice location is 5642 Jones St, Milton, Florida. You can reach out to his office (for appointments etc.) via phone at (850) 626-7779.

Mr Brian E Willis is licensed to practice in Florida (license number MH11927) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1740538511.

Contact Information

	Mr Brian E Willis, LMHC
	5642 Jones St, Milton, FL 32570-2304
	(850) 626-7779
	(850) 626-7171

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Brian E Willis
Gender	Male
Speciality	Counselor - Mental Health
Location	5642 Jones St, Milton, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740538511
Provider Enumeration Date: 08/27/2012
Last Update Date: 08/12/2022

Medicare PECOS Information:

PECOS PAC ID: 3375934755
Enrollment ID: I20240307000922

Medical Identifiers

Medical identifiers for Mr Brian E Willis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740538511	NPI	-	NPPES
101566900	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	MH 11927 (Florida)	Secondary
101YM0800X	Counselor - Mental Health	MH11927 (Florida)	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. Mr Brian E Willis allows following entities to bill medicare on his behalf.

Entity Name	Santa Rosa Counseling Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962697441 PECOS PAC ID: 7012226061 Enrollment ID: O20151014002147

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. Mr Brian E 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
Mr Brian E Willis, LMHC 5642 Jones St, Milton, FL 32570-2304 Ph: (850) 626-7779	Mr Brian E Willis, LMHC 5642 Jones St, Milton, FL 32570-2304 Ph: (850) 626-7779

Reviews and Comments

Counselor in Milton, FL

Andrea Sutrick, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6819 Berryhill St, Milton, FL 32570 Phone: 850-748-0344
Shundra Brown Freeman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5642 Jones St, Milton, FL 32570 Phone: 850-626-7779 Fax: 850-626-7171
Mrs. Angela Marie Avery, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 308 Merrill Dr, Milton, FL 32570 Phone: 850-773-6276
Marc Daniel Whittlesay Jr., LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5897 Little Leaf Ct, Milton, FL 32570 Phone: 850-490-7829
Mr. Gary Steven Bray, M. S,, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: Blackwater Stop Camp, 2451 Stop Camp Road, Milton, FL 32570 Phone: 850-957-0995 Fax: 850-957-1000
Mr. Rodney Eric Moore, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3500 Riverview Dr, Milton, FL 32571 Phone: 850-292-2922
Codi Hatfield, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5850 East Milton Rd, Milton, FL 32583 Phone: 850-981-5185

Mr Brian E Willis, LMHC - Medicare Counselor in Milton, FL