Jason Willis, in Nashville, TN - Medicare Nurse Practitioner

Jason Willis, is a medicare enrolled "Nurse Practitioner - Pediatrics" in Nashville, Tennessee. His current practice location is 2200 Childrens Way, Nashville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (615) 936-1602.

Jason Willis is licensed to practice in Tennessee (license number 17954) 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 1265834402.

Contact Information

	Jason Willis,
	2200 Childrens Way, Nashville, TN 37232-0005
	(615) 936-1602
	Not Available

Map and Direction

Provider's Profile

Full Name	Jason Willis
Gender	Male
Speciality	Nurse Practitioner - Pediatrics
Location	2200 Childrens Way, Nashville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265834402
Provider Enumeration Date: 09/18/2014
Last Update Date: 10/16/2024

Medicare PECOS Information:

PECOS PAC ID: 2466872601
Enrollment ID: I20201009000050

Medical Identifiers

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

Identifier	Type	State	Issuer
1265834402	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	17954 (Tennessee)	Primary
207LP3000X	Anesthesiology - Pediatric Anesthesiology	17954 (Tennessee)	Secondary

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

Entity Name	Vanderbilt University Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104202761 PECOS PAC ID: 5092023416 Enrollment ID: O20151006000369

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. Jason 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
Jason Willis, 3841 Green Hills Village Dr Ste 200, Nashville, TN 37215-2691 Ph: () -	Jason Willis, 2200 Childrens Way, Nashville, TN 37232-0005 Ph: (615) 936-1602

Reviews and Comments

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Jason Willis, - Medicare Nurse Practitioner in Nashville, TN