Kimberly Willis, in Athens, AL - Medicare Nurse Practitioner

Kimberly Willis, is a medicare enrolled "Nurse Practitioner - Family" in Athens, Alabama. Her current practice location is 700 W Market St, Athens, Alabama. You can reach out to her office (for appointments etc.) via phone at (256) 233-9292.

Kimberly Willis is licensed to practice in Alabama (license number 1-080692) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1275925794.

Contact Information

	Kimberly Willis,
	700 W Market St, Athens, AL 35611-2457
	(256) 233-9292
	Not Available

Map and Direction

Provider's Profile

Full Name	Kimberly Willis
Gender	Female
Speciality	Nurse Practitioner - Family
Location	700 W Market St, Athens, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275925794
Provider Enumeration Date: 02/19/2015
Last Update Date: 02/19/2015

Medicare PECOS Information:

PECOS PAC ID: 0941519870
Enrollment ID: I20151015002163

Medical Identifiers

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

Identifier	Type	State	Issuer
1275925794	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1-080692 (Alabama)	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. Kimberly Willis allows following entities to bill medicare on her behalf.

Entity Name	Emergency Medical Associates, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609960798 PECOS PAC ID: 8426025453 Enrollment ID: O20040910000476

Entity Name	Athens-limestone Er Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528314119 PECOS PAC ID: 6204084502 Enrollment ID: O20120911000679

Entity Name	Alh Hospitalist
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770992398 PECOS PAC ID: 7517289861 Enrollment ID: O20141124001005

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. Kimberly 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
Kimberly Willis, 700 W Market St, Athens, AL 35611-2457 Ph: (256) 233-9292	Kimberly Willis, 700 W Market St, Athens, AL 35611-2457 Ph: (256) 233-9292

Reviews and Comments

Nurse Practitioner Nurses in Athens, AL

Zachary Andrew Curtis, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 W Market St, Athens, AL 35611 Phone: 256-233-9292
Anne Tate Wilson, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Fitness Way, Suite 1200, Athens, AL 35611 Phone: 256-232-0636 Fax: 256-232-1281
Lindsay Traynom, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22454 Us Highway 72 Ste 200, Athens, AL 35613 Phone: 256-233-2332
Diane Goodman Waits, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 700 W Market St, Athens, AL 35611 Phone: 800-893-9698
April Seay, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7715 Us Highway 72, Athens, AL 35611 Phone: 256-729-9477
Christina C Vail, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 700 W Market St, Athens, AL 35611 Phone: 256-233-9292
Mrs. Marleah Mcanalley, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 W Market St, Athens, AL 35611 Phone: 256-233-9292 Fax: 256-233-9272

Kimberly Willis, - Medicare Nurse Practitioner in Athens, AL