Brandon Keith Willis, AGACNP-BC in Amarillo, TX

Brandon Keith Willis, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Amarillo, Texas. His current practice location is 1400 S Coulter St, Amarillo, Texas. You can reach out to his office (for appointments etc.) via phone at (806) 414-9558.

Brandon Keith Willis is licensed to practice in Texas (license number 1109803) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1770289811.

Contact Information

	Brandon Keith Willis, AGACNP-BC
	1400 S Coulter St, Amarillo, TX 79106-1786
	(806) 414-9558
	(806) 414-9558

Map and Direction

Provider's Profile

Full Name	Brandon Keith Willis
Gender	Male
Speciality	Nurse Practitioner - Acute Care
Location	1400 S Coulter St, Amarillo, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770289811
Provider Enumeration Date: 01/31/2023
Last Update Date: 07/02/2024

Medicare PECOS Information:

PECOS PAC ID: 2860866423
Enrollment ID: I20230322000099

Medical Identifiers

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

Identifier	Type	State	Issuer
1770289811	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	1109803 (Texas)	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. Brandon Keith Willis allows following entities to bill medicare on his behalf.

Entity Name	Urgent Surgery Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326077082 PECOS PAC ID: 0042122137 Enrollment ID: O20031105000770

Entity Name	Texas Tech University Health Sciences Center Amarillo
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013942150 PECOS PAC ID: 9234037847 Enrollment ID: O20031220000051

Entity Name	North Texas Critical Care Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265863542 PECOS PAC ID: 6103041637 Enrollment ID: O20140625001871

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. Brandon Keith 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
Brandon Keith Willis, AGACNP-BC 1400 S Coulter St, Amarillo, TX 79106-1786 Ph: (806) 414-9558	Brandon Keith Willis, AGACNP-BC 1400 S Coulter St, Amarillo, TX 79106-1786 Ph: (806) 414-9558

Reviews and Comments

Nurse Practitioner Nurses in Amarillo, TX

Ms. Martha E Flores, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7306 Sw 34th Ave Ste 3, Amarillo, TX 79121 Phone: 806-350-3010 Fax: 806-350-3015
Mrs. Mary Caroline Walker, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1501 S Coulter St, Amarillo, TX 79106 Phone: 806-351-4152
Mindy Unrau, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1900 S Coulter St Ste C, Amarillo, TX 79106 Phone: 806-353-3061
Megan Marie Wait, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24 Care Cir, Amarillo, TX 79124 Phone: 806-353-6100 Fax: 806-353-8130
Mrs. Brittany Ann Omer, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6014 S Western St Unit 400, Amarillo, TX 79110 Phone: 806-553-2728
Brenna Dawn Payne, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7620 Wallace Blvd, Amarillo, TX 79124 Phone: 806-676-3579
Brenda Chesley, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1500 S Coulter St Ste 1, Amarillo, TX 79106 Phone: 806-354-0404

Brandon Keith Willis, AGACNP-BC - Medicare Nurse Practitioner in Amarillo, TX