Brent Willis, CRNA in Texarkana, TX - Medicare Certified Registered Nurse Anesthetist (crna)

Brent Willis, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Texarkana, Texas. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Northstar Anesthesia Pa and his current practice location is 203 La Grange Dr., Texarkana, Texas. You can reach out to his office (for appointments etc.) via phone at (936) 645-5428.

Brent Willis is licensed to practice in Texas (license number AP133014) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1104363258.

Contact Information

	Brent Willis, CRNA
	203 La Grange Dr., Texarkana, TX 75501
	(936) 645-5428
	Not Available

Map and Direction

Provider's Profile

Full Name	Brent Willis
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	8 Years
Location	203 La Grange Dr., Texarkana, Texas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Brent Willis graduated from nursing school in 2016

NPI Data:

NPI Number: 1104363258
Provider Enumeration Date: 01/27/2017
Last Update Date: 01/27/2017

Medicare PECOS Information:

PECOS PAC ID: 3779867411
Enrollment ID: I20170224001632

Medical Identifiers

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

Identifier	Type	State	Issuer
1104363258	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	AP133014 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Wadley Regional Medical Center	Texarkana, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northstar Anesthesia Pa	7315907128	265

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. Brent Willis allows following entities to bill medicare on his behalf.

Entity Name	Essent Prmc Lp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063411767 PECOS PAC ID: 2163327941 Enrollment ID: O20040614001595

Entity Name	Northstar Anesthesia Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912978610 PECOS PAC ID: 7315907128 Enrollment ID: O20041015000685

Entity Name	Prmc Er Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366764052 PECOS PAC ID: 6709917529 Enrollment ID: O20100623000267

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. Brent 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
Brent Willis, CRNA 203 La Grange Dr., Texarkana, TX 75501 Ph: (936) 645-5428	Brent Willis, CRNA 203 La Grange Dr., Texarkana, TX 75501 Ph: (936) 645-5428

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Texarkana, TX

Mr. Brandon Wiley, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4100 Summerhill Rd, Texarkana, TX 75503 Phone: 903-735-9802 Fax: 903-735-9806
Richard Loeffler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Pine St, Texarkana, TX 75501 Phone: 903-427-3851
Caleb Allen Bennett, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2600 Saint Michael Dr, Texarkana, TX 75503 Phone: 469-955-9423
Charles David Lummus, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4100 Summerhill Rd, Texarkana, TX 75503 Phone: 903-735-9802 Fax: 903-735-9806
John Matt Hester, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4100 Summerhill Rd, Texarkana, TX 75503 Phone: 903-735-9802 Fax: 903-735-9806
Paul Mitchell James, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4100 Summerhill Rd, Texarkana, TX 75503 Phone: 903-735-9802 Fax: 903-735-9806

Brent Willis, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Texarkana, TX