Ms Johanna Hermina Willemse, BA, MHP - Medicare Counselor in Champaign, IL

Ms Johanna Hermina Willemse, BA, MHP is a medicare enrolled "Counselor - Mental Health" provider in Champaign, Illinois. Her current practice location is 202 W Park Ave, Champaign, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 373-2436.

Ms Johanna Hermina Willemse is licensed to practice in * (Not Available) (license number ) 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 1043406044.

Contact Information

Ms Johanna Hermina Willemse, BA, MHP
202 W Park Ave,
Champaign, IL 61820-3929
(217) 373-2436
Not Available

Healthcare Provider's Profile

Full NameMs Johanna Hermina Willemse
GenderFemale
SpecialityCounselor - Mental Health
Location202 W Park Ave, Champaign, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043406044
  • Provider Enumeration Date: 09/24/2007
  • Last Update Date: 09/24/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 5294996153
  • Enrollment ID: I20120419000755

Medical Identifiers

Medical identifiers for Ms Johanna Hermina Willemse such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043406044NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))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. Ms Johanna Hermina Willemse allows following entities to bill medicare on her behalf.
Entity NameAll Seasons Counseling Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336815729
PECOS PAC ID: 5193192318
Enrollment ID: O20221101001413

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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. Ms Johanna Hermina Willemse 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 AddressPractice Location Address
Ms Johanna Hermina Willemse, BA, MHP
202 W Park Ave,
Champaign, IL 61820-3929

Ph: (217) 373-2436
Ms Johanna Hermina Willemse, BA, MHP
202 W Park Ave,
Champaign, IL 61820-3929

Ph: (217) 373-2436

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Counselor in Champaign, IL

Staci Poe,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 44 E Main St, Ste 406, Champaign, IL 61820
Phone: 217-398-9066    Fax: 217-398-9077
Marie Duffin,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 701 Devonshire Dr Ste B16-18, Champaign, IL 61820
Phone: 217-531-2360    
Laura Green, LSW
Counselor
Medicare: Medicare Enrolled
Practice Location: 201 W Springfield Ave, Champaign, IL 61820
Phone: 217-693-4918    
Jennifer Carleton, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 411 Devonshire Dr, Champaign, IL 61820
Phone: 217-904-3035    
Rachel Cooper Brown, MS, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 309 W Clark St, Champaign, IL 61820
Phone: 217-398-9066    Fax: 217-398-9077
Whitley Tate, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 2104 Windsor Pl Ste A, Champaign, IL 61820
Phone: 217-552-1058    Fax: 855-848-7422

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