Alisa Ann Willingham, OTR is a medicare enrolled "Occupational Therapist" provider in Shelbina, Missouri. Her current practice location is
142 Shelby Plaza Rd, Shelbina, Missouri. You can reach out to her office (for appointments etc.) via phone at
(573) 588-4175.
Alisa Ann Willingham is licensed to practice in Missouri (license number 2008021287) 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 1205148723.
Healthcare Provider's Profile
| Full Name | Alisa Ann Willingham |
|---|
| Gender | Female |
|---|
| Speciality | Occupational Therapist |
|---|
| Location | 142 Shelby Plaza Rd, Shelbina, Missouri |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1205148723
- Provider Enumeration Date: 07/13/2010
- Last Update Date: 07/13/2010
Medicare PECOS Information:
- PECOS PAC ID: 7012434772
- Enrollment ID: I20250506002120
Medical Identifiers
Medical identifiers for Alisa Ann Willingham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1205148723 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225X00000X | Occupational Therapist | 2008021287 (Missouri) | 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. Alisa Ann Willingham allows following entities to bill medicare on her behalf.
| Provider Name | Midwest Physical Therapy Pc |
|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
|---|
| Provider Identifiers | NPI Number: 1144389677 PECOS PAC ID: 9335190339 Enrollment ID: O20140917001266 |
|---|
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. Alisa Ann Willingham 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 |
Alisa Ann Willingham, OTR 142 Shelby Plaza Rd, Shelbina, MO 63468-1065 Ph: (573) 588-4175 | Alisa Ann Willingham, OTR 142 Shelby Plaza Rd, Shelbina, MO 63468-1065 Ph: (573) 588-4175 |
Reviews and Comments