Bennett L Willard, DO in Grand Rapids, MI

Bennett L Willard, DO is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Grand Rapids, Michigan. His current practice location is 2060 E Paris Ave Se Ste 200, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 285-1377.

Bennett L Willard is licensed to practice in Michigan (license number 5101008161) 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 1134186513.

Contact Information

	Bennett L Willard, DO
	2060 E Paris Ave Se Ste 200, Grand Rapids, MI 49546-6113
	(616) 285-1377
	(616) 285-1154

Map and Direction

Physician's Profile

Full Name	Bennett L Willard
Gender	Male
Speciality	Pain Medicine - Interventional Pain Medicine
Location	2060 E Paris Ave Se Ste 200, Grand Rapids, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134186513
Provider Enumeration Date: 04/28/2006
Last Update Date: 05/06/2021

Medicare PECOS Information:

PECOS PAC ID: 9830166743
Enrollment ID: I20100318000385

Medical Identifiers

Medical identifiers for Bennett L Willard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134186513	NPI	-	NPPES
555410027	Other	MI	BCBSM
4610008-11	Medicaid	MI
4535360-11	Medicaid	MI
4609992-11	Medicaid	MI
5212687-11	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207LP2900X	Anesthesiology - Pain Medicine	5101008161 (Michigan)	Secondary
208VP0014X	Pain Medicine - Interventional Pain Medicine	5101008161 (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. Bennett L Willard allows following entities to bill medicare on his behalf.

Entity Name	Michigan Pain Consultants Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467418574 PECOS PAC ID: 8426959099 Enrollment ID: O20040225001094

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. Bennett L Willard 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
Bennett L Willard, DO 5555 Glenwood Hills Pkwy Se Ste 2, Grand Rapids, MI 49512-2091 Ph: (616) 940-2662	Bennett L Willard, DO 2060 E Paris Ave Se Ste 200, Grand Rapids, MI 49546-6113 Ph: (616) 285-1377

Reviews and Comments

Pain Medicine Doctors in Grand Rapids, MI

Mary C Leemputte, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 1900 Wealthy St Se Ste 300, Grand Rapids, MI 49506 Phone: 616-774-8345
Kevin Edward Fitzgerald, MD Pain Medicine Medicare: Medicare Enrolled Practice Location: 4100 Lake Dr Se, Ste 305, Grand Rapids, MI 49546 Phone: 616-285-1377 Fax: 616-285-1006
Dr. Kevin M. Nemeth, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 2060 East Paris Ave Se Ste 200, Grand Rapids, MI 49546 Phone: 616-285-1377 Fax: 616-285-1154
Joseph Yared Vanden Bosch, MD Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 4100 Lake Dr Se, Suite 305, Grand Rapids, MI 49546 Phone: 616-285-1377 Fax: 616-285-1006
Daniel James Veldheer, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 2060 E Paris Ave Se, Grand Rapids, MI 49546 Phone: 616-285-1377
Mark Louis Gostine, MD Pain Medicine Medicare: Medicare Enrolled Practice Location: 2060 E Paris Ave Se, Suite 200, Grand Rapids, MI 49546 Phone: 616-285-1377 Fax: 616-285-1006
Keith B Javery, DO Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 710 Kenmoor Ave Se, Suite 200, Grand Rapids, MI 49546 Phone: 616-588-7246 Fax: 616-588-7086

Bennett L Willard, DO - Medicare Pain Medicine in Grand Rapids, MI