Jennifer Louise Willis, MD - Medicare Family Practice in Phoenix, AZ

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Jennifer Louise Willis, MD is a medicare enrolled "Family Medicine" physician in Phoenix, Arizona. She went to University Of Arizona College Of Medicine and graduated in 2006 and has 18 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Bhsm Rehabilitation Llc, Midwestern University, Banner Primary Care Physicians Arizona Llc and her current practice location is 1300 N 12th St, Suite 605, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 239-4567.

Jennifer Louise Willis is licensed to practice in Arizona (license number 81372) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1275731424.

Contact Information

Jennifer Louise Willis, MD
1300 N 12th St, Suite 605,
Phoenix, AZ 85006-2848
(602) 239-4567
Not Available

Map and Direction




Physician's Profile

Full NameJennifer Louise Willis
GenderFemale
SpecialityFamily Practice
Experience18 Years
Location1300 N 12th St, Phoenix, Arizona
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jennifer Louise Willis attended and graduated from University Of Arizona College Of Medicine in 2006
  NPI Data:
  • NPI Number: 1275731424
  • Provider Enumeration Date: 07/10/2007
  • Last Update Date: 11/16/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 5193864221
  • Enrollment ID: I20091203000393

Medical Identifiers

Medical identifiers for Jennifer Louise Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275731424NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 81372 (Arizona)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Bhsm Rehabilitation Llc20627731381355
Midwestern University6305734773114
Banner Primary Care Physicians Arizona Llc6406020155177

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. Jennifer Louise Willis allows following entities to bill medicare on her behalf.
Entity NameVhs Outpatient Clinics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912979964
PECOS PAC ID: 4486566726
Enrollment ID: O20031104000523
Entity NameMidwestern University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932206414
PECOS PAC ID: 6305734773
Enrollment ID: O20040308000663
Entity NameAlliance Urgent Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891888517
PECOS PAC ID: 8022111749
Enrollment ID: O20070316000208
Entity NameBanner Primary Care Physicians Arizona Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417238908
PECOS PAC ID: 6406020155
Enrollment ID: O20111115000898

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. Jennifer Louise 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 AddressPractice Location Address
Jennifer Louise Willis, MD
1300 N 12th St, Suite 605,
Phoenix, AZ 85006-2848

Ph: (602) 239-2668		Jennifer Louise Willis, MD
1300 N 12th St, Suite 605,
Phoenix, AZ 85006-2848

Ph: (602) 239-4567

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.