Mr Donovan Scott Willis, CRNA in Fort Smith, AR - Medicare Certified Registered Nurse Anesthetist (crna)

Mr Donovan Scott Willis, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fort Smith, Arkansas. He graduated from nursing school in 2004 and has 20 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Northeastern Health System, Anesthesia Associates Of Joplin Llc and his current practice location is 3002 Rogers Ave, Fort Smith, Arkansas. You can reach out to his office (for appointments etc.) via phone at (479) 785-2555.

Mr Donovan Scott Willis is licensed to practice in Arkansas (license number C01497) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1558460295.

Contact Information

	Mr Donovan Scott Willis, CRNA
	3002 Rogers Ave, Fort Smith, AR 72901-4232
	(479) 785-2555
	(479) 785-3555

Map and Direction

Provider's Profile

Full Name	Mr Donovan Scott Willis
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	20 Years
Location	3002 Rogers Ave, Fort Smith, Arkansas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Donovan Scott Willis graduated from nursing school in 2004

NPI Data:

NPI Number: 1558460295
Provider Enumeration Date: 09/21/2006
Last Update Date: 05/21/2009

Medicare PECOS Information:

PECOS PAC ID: 0941259998
Enrollment ID: I20050208000777

Medical Identifiers

Medical identifiers for Mr Donovan Scott Willis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558460295	NPI	-	NPPES
200053830A	Medicaid	OK
156956001	Medicaid	AR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	C01497 (Arkansas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northeastern Health System	Tahlequah, OK	Hospital

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. Mr Donovan Scott Willis allows following entities to bill medicare on his behalf.

Entity Name	Western Arkansas Anesthesiology Associates P.a.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548202294 PECOS PAC ID: 0648179291 Enrollment ID: O20040102000767

Entity Name	Phoenix Anesthesia Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184889842 PECOS PAC ID: 6901965276 Enrollment ID: O20081103000083

Entity Name	Dsw Anesthesia Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447490446 PECOS PAC ID: 1456409101 Enrollment ID: O20090506000407

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. Mr Donovan Scott 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
Mr Donovan Scott Willis, CRNA Po Box 11405, Fort Smith, AR 72917-1405 Ph: (479) 785-2555	Mr Donovan Scott Willis, CRNA 3002 Rogers Ave, Fort Smith, AR 72901-4232 Ph: (479) 785-2555

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Fort Smith, AR

Ms. Kathryn Denyse Hallen, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 7301 Rogers Ave, Fort Smith, AR 72903 Phone: 479-314-6000
Dr. Shane Jamison, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12809 Diamond Ln, Fort Smith, AR 72916 Phone: 918-721-3264
Alana Lea Vargas, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 6301 Ellsworth Rd, Fort Smith, AR 72903 Phone: 760-521-1872
Ms. Jo Beth Bradshaw Dobbins, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1001 Towson Ave, Fort Smith, AR 72901 Phone: 479-441-5291 Fax: 479-441-4162
James A Mcdaniel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1115 S Waldron Rd, 107, Fort Smith, AR 72903 Phone: 479-452-1581 Fax: 479-452-2148
Mr. Bradley Richad Leamy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12409 Havishum Ct, Fort Smith, AR 72916 Phone: 417-207-7003
Mr. James Michael Peczuh, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1001 Towson Ave, Sparks Regional Medical Center, Fort Smith, AR 72901 Phone: 479-441-4000

Mr Donovan Scott Willis, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Fort Smith, AR