Lisa Willard, DPT in Gibson City, IL - Medicare Physical Therapist Provider

Lisa Willard, DPT is a medicare enrolled "Physical Therapist" provider in Gibson City, Illinois. Her current practice location is 10 Doctors Park, Gibson City, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 784-2650.

Lisa Willard is licensed to practice in Illinois (license number 070017030) 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 1134894017.

Contact Information

	Lisa Willard, DPT
	10 Doctors Park, Gibson City, IL 60936-2004
	(217) 784-2650
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Lisa Willard
Gender	Female
Speciality	Physical Therapist
Location	10 Doctors Park, Gibson City, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134894017
Provider Enumeration Date: 08/12/2021
Last Update Date: 08/12/2021

Medicare PECOS Information:

PECOS PAC ID: 5698173003
Enrollment ID: I20211014001553

Medical Identifiers

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

Identifier	Type	State	Issuer
1134894017	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	070017030 (Illinois)	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. Lisa Willard allows following entities to bill medicare on her behalf.

Provider Name	Gibson Community Hospital Association
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1114935681 PECOS PAC ID: 5092703124 Enrollment ID: O20040505001293

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. Lisa 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
Lisa Willard, DPT 1120 N Melvin St, Gibson City, IL 60936-1477 Ph: (217) 784-2650	Lisa Willard, DPT 10 Doctors Park, Gibson City, IL 60936-2004 Ph: (217) 784-2650

Reviews and Comments

Physical Therapist in Gibson City, IL

Ms. Carrie Ann Lithgow, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 109 N. Sangamon Ave, Gibson City, IL 60936 Phone: 217-784-8033 Fax: 217-784-8077
Joel G Hirschfeld, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1120 N Melvin St, Gibson City, IL 60936 Phone: 217-784-2650
R.a. Physical Therapy, Pc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 109 N Sangamon Ave, Gibson City, IL 60936 Phone: 217-784-8033 Fax: 217-784-8077
Georganne Morris, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 620 E 1st St, Gibson City, IL 60936 Phone: 217-784-4257
Ms. Therese Rose Freehill-davis, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10 Doctors Park, Gibson City, IL 60936 Phone: 217-784-2650
Ms. Rachel Dizon Miguel, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 109 N Sangamon Ave, Gibson City, IL 60936 Phone: 217-784-8033

Lisa Willard, DPT - Medicare Physical Therapist in Gibson City, IL