Tiaira Mikal Willis, in Rayville, LA - Medicare Counselor Provider

Tiaira Mikal Willis, is a medicare enrolled "Counselor - Mental Health" provider in Rayville, Louisiana. Her current practice location is 114 Ineichen St Ste A, Rayville, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 417-7780.

Tiaira Mikal Willis is licensed to practice in Texas (license number 90118) 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 1033621917.

Contact Information

	Tiaira Mikal Willis,
	114 Ineichen St Ste A, Rayville, LA 71269-3223
	(318) 417-7780
	(318) 728-1140

Map and Direction

Healthcare Provider's Profile

Full Name	Tiaira Mikal Willis
Gender	Female
Speciality	Counselor - Mental Health
Location	114 Ineichen St Ste A, Rayville, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033621917
Provider Enumeration Date: 10/31/2017
Last Update Date: 01/25/2024

Medicare PECOS Information:

PECOS PAC ID: 1759730435
Enrollment ID: I20231206002140

Medical Identifiers

Medical identifiers for Tiaira Mikal Willis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033621917	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	7684 (Louisiana)	Secondary
171M00000X	Case Manager/care Coordinator	(* (Not Available))	Secondary
101YM0800X	Counselor - Mental Health	90118 (Texas)	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. Tiaira Mikal Willis allows following entities to bill medicare on her behalf.

Entity Name	Brave Health Medical Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225669161 PECOS PAC ID: 9537586052 Enrollment ID: O20231220003268

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. Tiaira Mikal 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
Tiaira Mikal Willis, 1401 Hudson Ln Ste 202, Monroe, LA 71201-6032 Ph: (318) 323-1300	Tiaira Mikal Willis, 114 Ineichen St Ste A, Rayville, LA 71269-3223 Ph: (318) 417-7780

Reviews and Comments

Counselor in Rayville, LA

Sonji Tarver, Counselor Medicare: Not Enrolled in Medicare Practice Location: 114 Morgan St, Rayville, LA 71269 Phone: 318-728-2000
Ms. Londrea Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 114 Morgan St, Rayville, LA 71269 Phone: 318-728-2000
Stewart Sheldon Bedillion, Counselor Medicare: Not Enrolled in Medicare Practice Location: 86 Palmetto Rd, Rayville, LA 71269 Phone: 318-728-2970 Fax: 318-728-2272
Linda Gilbert, Counselor Medicare: Not Enrolled in Medicare Practice Location: 114 Ineichen St Ste A, Rayville, LA 71269 Phone: 318-417-7780
Catherine Miller, Counselor Medicare: Not Enrolled in Medicare Practice Location: 114 Ineichen St Ste A, Rayville, LA 71269 Phone: 318-417-7780 Fax: 318-728-1140
Joshua Johnson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 161 Comeaux Rd, Rayville, LA 71269 Phone: 318-303-5500

Tiaira Mikal Willis, - Medicare Counselor in Rayville, LA