Charlet Willis, PA in Marion, OH - Medicare Physician Assistant

Charlet Willis, PA is a medicare enrolled "Physician Assistant" in Marion, Ohio. Her current practice location is 130 University Dr Ste 1300, Marion, Ohio. You can reach out to her office (for appointments etc.) via phone at (740) 692-4440.

Charlet Willis is licensed to practice in Ohio (license number 50.005954RX) 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 1144766775.

Contact Information

	Charlet Willis, PA
	130 University Dr Ste 1300, Marion, OH 43302-1104
	(740) 692-4440
	Not Available

Provider's Profile

Full Name	Charlet Willis
Gender	Female
Speciality	Physician Assistant
Location	130 University Dr Ste 1300, Marion, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144766775
Provider Enumeration Date: 01/06/2017
Last Update Date: 04/29/2019

Medicare PECOS Information:

PECOS PAC ID: 2769767615
Enrollment ID: I20170316001042

Medical Identifiers

Medical identifiers for Charlet Willis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144766775	NPI	-	NPPES
0343586	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	50.005954RX (Ohio)	Primary

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. Charlet Willis 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
Charlet Willis, PA 5400 Frantz Rd Ste 250, Dublin, OH 43016-6102 Ph: (614) 533-6497	Charlet Willis, PA 130 University Dr Ste 1300, Marion, OH 43302-1104 Ph: (740) 692-4440

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Physician Assistant Nurses in Marion, OH

Mrs. Karen Pauley, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 402 S State St, Marion, OH 43302 Phone: 740-387-4115 Fax: 740-387-9210
Kelley Mamede, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 402 S State St, Marion, OH 43302 Phone: 740-387-0650
Amanda I Gandert, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1069 Delaware Ave, Suite 205, Marion, OH 43302 Phone: 740-387-4578
Jill R Thomas, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1000 Mckinley Park Dr, Marion, OH 43302 Phone: 740-383-8700 Fax: 740-383-8517
Mrs. Haley Elise Gravely, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1063 Harding Memorial Pkwy Ste A, Marion, OH 43302 Phone: 740-244-8550 Fax: 740-751-4584
Franklin R Millard, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 Mckinley Park Dr, Marion, OH 43302 Phone: 740-383-8700
Danielle Hamzeloo, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1138 Independence Ave, Marion, OH 43302 Phone: 740-383-7953

Charlet Willis, PA - Medicare Physician Assistant in Marion, OH