Joseph Dominic Willis, ARNP - Medicare Nurse Practitioner in St Petersburg, FL

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Joseph Dominic Willis, ARNP is a medicare enrolled "Nurse Practitioner" in St Petersburg, Florida. His current practice location is 10974 54th Ave N, St Petersburg, Florida. You can reach out to his office (for appointments etc.) via phone at (727) 579-4124.

Joseph Dominic Willis is licensed to practice in Florida (license number ARNP1759342) 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 1619082252.

Contact Information

Joseph Dominic Willis, ARNP
10974 54th Ave N,
St Petersburg, FL 33708-2943
(727) 579-4124
Not Available

Map and Direction




Provider's Profile

Full NameJoseph Dominic Willis
GenderMale
SpecialityNurse Practitioner
Location10974 54th Ave N, St Petersburg, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1619082252
  • Provider Enumeration Date: 08/21/2006
  • Last Update Date: 02/13/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 7113940438
  • Enrollment ID: I20060112000244

Medical Identifiers

Medical identifiers for Joseph Dominic Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619082252NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner ARNP1759342 (Florida)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. Joseph Dominic Willis allows following entities to bill medicare on his behalf.
Entity NameAccess Healthcare Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841739737
PECOS PAC ID: 6204111834
Enrollment ID: O20170322002902

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. Joseph Dominic 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 AddressPractice Location Address
Joseph Dominic Willis, ARNP
10974 54th Ave N,
St Petersburg, FL 33708-2943

Ph: (727) 579-4124		Joseph Dominic Willis, ARNP
10974 54th Ave N,
St Petersburg, FL 33708-2943

Ph: (727) 579-4124

Reviews and Comments


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Phone: 727-456-0750    Fax: 727-456-0751
Mrs. Shanna Ann Sherman, ARNP
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Medicare: Medicare Enrolled
Practice Location: 601 5th St S, Suite 605, St Petersburg, FL 33701
Phone: 727-822-4300    Fax: 727-456-1399

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.