Charles Adam Willis, FNP in Piney Flats, TN - Medicare Nurse Practitioner

Charles Adam Willis, FNP is a medicare enrolled "Nurse Practitioner - Family" in Piney Flats, Tennessee. He graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Health Express and his current practice location is 6419 Bristol Hwy, Piney Flats, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 538-5202.

Charles Adam Willis is licensed to practice in Tennessee (license number 18377) 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 1659795151.

Contact Information

	Charles Adam Willis, FNP
	6419 Bristol Hwy, Piney Flats, TN 37686-5208
	(423) 538-5202
	(423) 538-8208

Map and Direction

Provider's Profile

Full Name	Charles Adam Willis
Gender	Male
Speciality	Nurse Practitioner
Experience	11 Years
Location	6419 Bristol Hwy, Piney Flats, Tennessee
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:

Charles Adam Willis graduated from nursing school in 2013

NPI Data:

NPI Number: 1659795151
Provider Enumeration Date: 02/05/2014
Last Update Date: 02/28/2017

Medicare PECOS Information:

PECOS PAC ID: 2769613249
Enrollment ID: I20140326001289

Medical Identifiers

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

Identifier	Type	State	Issuer
1659795151	NPI	-	NPPES
Q003839	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN0000177156 (Tennessee)	Secondary
363LF0000X	Nurse Practitioner - Family	18377 (Tennessee)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Health Express	5799072963	4

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. Charles Adam Willis allows following entities to bill medicare on his behalf.

Entity Name	Health Express
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417352618 PECOS PAC ID: 5799072963 Enrollment ID: O20161003001785

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. Charles Adam 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
Charles Adam Willis, FNP 6419 Bristol Hwy, Piney Flats, TN 37686-5208 Ph: (423) 538-5202	Charles Adam Willis, FNP 6419 Bristol Hwy, Piney Flats, TN 37686-5208 Ph: (423) 538-5202

Reviews and Comments

Nurse Practitioner Nurses in Piney Flats, TN

Lindsey Paige Pendergrass, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5554 Highway 11 E, Piney Flats, TN 37686 Phone: 423-666-0030 Fax: 423-666-0031
Mrs. Eden Marie Villiard, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6419 Bristol Hwy, Piney Flats, TN 37686 Phone: 423-538-5202
Christy A Rabetoy, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 116 Allison Timbers Rd, Piney Flats, TN 37686 Phone: 423-319-7313
Mary Catherine Elizabeth Shipley, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6419 Bristol Hwy, Piney Flats, TN 37686 Phone: 423-538-5202 Fax: 423-538-8208
Camellia N Mccommons, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5554 Nwy 11 E, Piney Flats, TN 37686 Phone: 423-666-0030 Fax: 423-666-0031

Charles Adam Willis, FNP - Medicare Nurse Practitioner in Piney Flats, TN