Jackie Willms, is a medicare enrolled "Anesthesiologist Assistant" in Grove City, Ohio. She graduated from nursing school in 2026 and has 0 years of diverse experience with area of expertise as Anesthesiology Assistant. She is a member of the group practice Western Anesthesiology Associates Inc and her current practice location is
2145 Staghorn Way, Grove City, Ohio. You can reach out to her office (for appointments etc.) via phone at
(330) 419-1080.
Jackie Willms is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1336094390.
Provider's Profile
| Full Name | Jackie Willms |
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| Gender | Female |
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| Speciality | Anesthesiology Assistant |
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| Location | 2145 Staghorn Way, Grove City, Ohio |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jackie Willms graduated from nursing school in 2026
NPI Data:
- NPI Number: 1336094390
- Provider Enumeration Date: 03/03/2026
- Last Update Date: 03/03/2026
Medicare PECOS Information:
- PECOS PAC ID: 0042783888
- Enrollment ID: I20260624000924
Medical Identifiers
Medical identifiers for Jackie Willms such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1336094390 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367H00000X | Anesthesiologist Assistant | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Western Anesthesiology Associates Inc | 6204720667 | 251 |
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. Jackie Willms allows following entities to bill medicare on her behalf.
| Entity Name | Western Anesthesiology Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275646754
PECOS PAC ID: 6204720667
Enrollment ID: O20040226000438 |
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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. Jackie 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 |
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Jackie Willms,
2145 Staghorn Way,
Grove City, OH 43123-4873
Ph: (330) 419-1080 | Jackie Willms,
2145 Staghorn Way,
Grove City, OH 43123-4873
Ph: (330) 419-1080 |
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