Nina Semnani Willis, DO in Phoenix, AZ - Medicare Family Practice

Nina Semnani Willis, DO is a medicare enrolled "Family Medicine" physician in Phoenix, Arizona. She graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Southern California Permanente Medical Group and her current practice location is 350 W Thomas Rd, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 406-3153.

Nina Semnani Willis is licensed to practice in California (license number 20A16140) 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 1861870842.

Contact Information

	Nina Semnani Willis, DO
	350 W Thomas Rd, Phoenix, AZ 85013-4409
	(602) 406-3153
	Not Available

Map and Direction

Physician's Profile

Full Name	Nina Semnani Willis
Gender	Female
Speciality	Family Practice
Experience	9 Years
Location	350 W Thomas Rd, Phoenix, Arizona
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nina Semnani Willis graduated from medical school in 2015

NPI Data:

NPI Number: 1861870842
Provider Enumeration Date: 05/11/2015
Last Update Date: 05/09/2024

Medicare PECOS Information:

PECOS PAC ID: 4688913502
Enrollment ID: I20190311001872

Medical Identifiers

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

Identifier	Type	State	Issuer
1861870842	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	20A16140 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern California Permanente Medical Group	6002729175	8172

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. Nina Semnani Willis allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Nina Semnani 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
Nina Semnani Willis, DO 350 W Thomas Rd, Phoenix, AZ 85013-4409 Ph: (602) 406-3153	Nina Semnani Willis, DO 350 W Thomas Rd, Phoenix, AZ 85013-4409 Ph: (602) 406-3153

Reviews and Comments

Family Medicine Doctors in Phoenix, AZ

Dr. Serena Dawn Woods-grimm, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 201 N Central Ave, Phoenix, AZ 85004 Phone: 602-221-6326
Michael Devin Taylor, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2927 N 7th Ave, Peppertree - Family Medicine #3, Phoenix, AZ 85013 Phone: 602-406-3153 Fax: 602-406-4122
Dr. Umar Iqbal, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2927 N 7th Ave, Peppertree Building - Window #3, Phoenix, AZ 85013 Phone: 602-406-3153 Fax: 602-406-7176
Jessica Ann Wright, PA-C Family Medicine Medicare: Medicare Enrolled Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-1000
Meggan E Bauer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4250 E Camelback Rd Ste K100, Phoenix, AZ 85018 Phone: 602-224-9218
Dr. James W. Fisher, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12450 N 32nd St Ste 3, Phoenix, AZ 85032 Phone: 602-996-0924 Fax: 602-482-2624
Geoffrey Peter Radoff, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2525 West Greenway, Suite 210, Phoenix, AZ 85023 Phone: 602-993-0200 Fax: 602-993-0207

Nina Semnani Willis, DO - Medicare Family Practice in Phoenix, AZ