Nicholas Willis, MD | |
1601 W 40th Ave, Suite 301, Pine Bluff, AR 71603-6319 | |
(870) 541-4285 | |
(870) 541-4297 |
Full Name | Nicholas Willis |
---|---|
Gender | Male |
Speciality | Interventional Cardiology |
Experience | 19 Years |
Location | 1601 W 40th Ave, Pine Bluff, Arkansas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629292883 | NPI | - | NPPES |
168857001 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | E5292 (Arkansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Jefferson Regional Medical Center | Pine bluff, AR | Hospital |
Chicot Memorial Medical Center | Lake village, AR | Hospital |
Ashley County Medical Center | Crossett, AR | Hospital |
Baptist Health Medical Center-little Rock | Little rock, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Jefferson Hospital Association Inc | 8123927431 | 52 |
Entity Name | Jefferson Hospital Association Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932157674 PECOS PAC ID: 8123927431 Enrollment ID: O20040106000512 |
Entity Name | Jefferson Hospital Association Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710931985 PECOS PAC ID: 8123927431 Enrollment ID: O20040429000375 |
Entity Name | Jefferson Hospital Association Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174542906 PECOS PAC ID: 8123927431 Enrollment ID: O20070202000152 |
Mailing Address | Practice Location Address |
---|---|
Nicholas Willis, MD 1601 W 40th Ave, Suite 301, Pine Bluff, AR 71603-6319 Ph: (870) 541-4285 | Nicholas Willis, MD 1601 W 40th Ave, Suite 301, Pine Bluff, AR 71603-6319 Ph: (870) 541-4285 |
Mr. James Steven Cash, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1710 W 42nd Ave, Pine Bluff, AR 71603 Phone: 870-535-4400 Fax: 870-535-4447 | |
Dr. Ioannis Papayannis, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 4800 S Hazel St, Pine Bluff, AR 71603 Phone: 870-534-5533 Fax: 870-534-5535 | |
Dr. Mervin Dale Terrell, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1220 W 42nd Ave, Pine Bluff, AR 71603 Phone: 870-541-0013 Fax: 870-541-0014 | |
Dr. Brandi Pauline Wright, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1420 W 43rd Ave Ste A, Pine Bluff, AR 71603 Phone: 870-541-6020 Fax: 870-541-6021 | |
Naznin Jamal, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1600 W 40th Ave, Pine Bluff, AR 71603 Phone: 870-541-7100 | |
Syed Sheheryar Ahmed Shah, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1420 W 43rd Ave Ste A, Pine Bluff, AR 71603 Phone: 870-541-6020 Fax: 870-541-6021 | |
James Trice, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 7005 S Hazel St, Pine Bluff, AR 71603 Phone: 870-536-3070 Fax: 870-536-3171 |