Latanya Maria Willis, FNP - Medicare Nurse Practitioner in Phoenix, AZ

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Latanya Maria Willis, FNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Phoenix, Arizona. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mind 247 Practice Llc and her current practice location is 9675 W Camelback Rd, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (844) 646-3247.

Latanya Maria Willis is licensed to practice in Arizona (license number AP8888) 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 1225235005.

Contact Information

Latanya Maria Willis, FNP
9675 W Camelback Rd,
Phoenix, AZ 85037-3667
(844) 646-3247
Not Available

Map and Direction




Provider's Profile

Full NameLatanya Maria Willis
GenderFemale
SpecialityNurse Practitioner
Experience12 Years
Location9675 W Camelback Rd, Phoenix, Arizona
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Latanya Maria Willis graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1225235005
  • Provider Enumeration Date: 06/27/2007
  • Last Update Date: 09/29/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8123331071
  • Enrollment ID: I20160909000431

Medical Identifiers

Medical identifiers for Latanya Maria Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225235005NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WP0200XRegistered Nurse - Pediatrics 330479 (Ohio)Secondary
363LF0000XNurse Practitioner - Family 832010 (Texas)Secondary
163WM0705XRegistered Nurse - Medical-surgical 330479 (Ohio)Secondary
363LF0000XNurse Practitioner - Family AP8888 (Arizona)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health AP8888 (Arizona)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mind 247 Practice Llc640625354132

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. Latanya Maria Willis allows following entities to bill medicare on her behalf.
Entity NameAlliance Urgent Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891888517
PECOS PAC ID: 8022111749
Enrollment ID: O20070316000208
Entity NameUrgent Care Centers Of Arizona, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013421429
PECOS PAC ID: 5890971097
Enrollment ID: O20110524000733
Entity NameDispatchhealth - Arizona
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922532944
PECOS PAC ID: 7810268422
Enrollment ID: O20170731003542
Entity NameHonorhealth-fastmed Ambulatory Holdings Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467069047
PECOS PAC ID: 0244650505
Enrollment ID: O20201027000044
Entity NameMind 247 Practice Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902472467
PECOS PAC ID: 6406253541
Enrollment ID: O20210916001566

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. Latanya Maria 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
Latanya Maria Willis, FNP
12324 N 144th Dr,
Surprise, AZ 85379-4477

Ph: (216) 798-3926		Latanya Maria Willis, FNP
9675 W Camelback Rd,
Phoenix, AZ 85037-3667

Ph: (844) 646-3247

Reviews and Comments


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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.