Courtney S Willis, FNP in Johnson City, TN - Medicare Nurse Practitioner

Courtney S Willis, FNP is a medicare enrolled "Nurse Practitioner - Family" in Johnson City, Tennessee. She went to East Tennessee State University Quillen College Of Medicine and graduated in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Tri-cities Regional Emergency Physicians, Pc and her current practice location is 2203 N Greenwood Dr, Johnson City, Tennessee. You can reach out to her office (for appointments etc.) via phone at (276) 525-0365.

Courtney S Willis is licensed to practice in Tennessee (license number 0000025835) 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 1699330282.

Contact Information

	Courtney S Willis, FNP
	2203 N Greenwood Dr, Johnson City, TN 37604-7030
	(276) 525-0365
	Not Available

Map and Direction

Provider's Profile

Full Name	Courtney S Willis
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	2203 N Greenwood Dr, Johnson City, Tennessee
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:

Courtney S Willis attended and graduated from East Tennessee State University Quillen College Of Medicine in 2018

NPI Data:

NPI Number: 1699330282
Provider Enumeration Date: 05/08/2019
Last Update Date: 07/23/2020

Medicare PECOS Information:

PECOS PAC ID: 3173950227
Enrollment ID: I20200302000707

Medical Identifiers

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

Identifier	Type	State	Issuer
1699330282	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	0000025835 (Tennessee)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Tri-cities Regional Emergency Physicians, Pc	3678859477	127

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. Courtney S Willis allows following entities to bill medicare on her behalf.

Entity Name	Tri-cities Regional Emergency Physicians, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063950046 PECOS PAC ID: 3678859477 Enrollment ID: O20170410002399

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. Courtney S 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
Courtney S Willis, FNP 2203 N Greenwood Dr, Johnson City, TN 37604-7030 Ph: (276) 525-0365	Courtney S Willis, FNP 2203 N Greenwood Dr, Johnson City, TN 37604-7030 Ph: (276) 525-0365

Reviews and Comments

Nurse Practitioner Nurses in Johnson City, TN

Amber Ramsey, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615 Phone: 423-282-1480 Fax: 423-928-1353
Connie T Rutledge, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 121 Boone Ridge Dr Ste 1004, Johnson City, TN 37615 Phone: 423-794-5988 Fax: 423-232-8583
Charity Helton, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 325 N. State Of Franklin Road, Ground Fl, Johnson City, TN 37604 Phone: 423-439-7320
Meghan Marie Hollier, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1018 Chase Dr, Johnson City, TN 37604 Phone: 423-282-3379 Fax: 423-430-6227
Michael David Smith, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3019 Peoples St # Condo300, Johnson City, TN 37604 Phone: 423-461-2100 Fax: 423-461-2199
Shelly J Mcintosh, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 301 Med Tech Pkwy, Suite 240, Johnson City, TN 37604 Phone: 423-794-5520 Fax: 423-282-0720
Mr. Seth M Mclaughlin, FNP NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 926 W Oakland Ave Ste 208, Johnson City, TN 37604 Phone: 423-952-5300 Fax: 423-402-8557

Courtney S Willis, FNP - Medicare Nurse Practitioner in Johnson City, TN