Candace S Willis, FNP is a medicare enrolled "Nurse Practitioner - Family" physician in Erin, Tennessee. Her current practice location is
5001 E Main St, Erin, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(931) 289-4211.
Candace S Willis is licensed to practice in Tennessee (license number APN16883) 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 1659627388.
Physician's Profile
| Full Name | Candace S Willis |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 5001 E Main St, Erin, Tennessee |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1659627388
- Provider Enumeration Date: 07/31/2012
- Last Update Date: 07/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 5395997811
- Enrollment ID: I20121210000091
Medical Identifiers
Medical identifiers for Candace S Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659627388 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | APN16883 (Tennessee) | Secondary |
| 207Q00000X | Family Medicine | APN16883 (Tennessee) | Secondary |
| 207R00000X | Internal Medicine | APN16883 (Tennessee) | Secondary |
| 208000000X | Pediatrics | APN16883 (Tennessee) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | APN16883 (Tennessee) | Secondary |
| 208600000X | Surgery | APN16883 (Tennessee) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APN16883 (Tennessee) | 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. Candace S Willis allows following entities to bill medicare on her behalf.
| Entity Name | Lexington Clinic Corp |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1780652107
PECOS PAC ID: 2466468558
Enrollment ID: O20060227000599 |
|---|
| Entity Name | Lexington Hospital Corporation |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1083809669
PECOS PAC ID: 7719896414
Enrollment ID: O20090324000611 |
|---|
| Entity Name | Haywood County Community Hospital Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1790444933
PECOS PAC ID: 7911373204
Enrollment ID: O20221011001672 |
|---|
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. Candace S 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 |
|---|
Candace S Willis, FNP
5001 E Main St,
Erin, TN 37061-4115
Ph: (931) 289-4211 | Candace S Willis, FNP
5001 E Main St,
Erin, TN 37061-4115
Ph: (931) 289-4211 |
Reviews and Comments