Mr John Evan Willis, CRNP in Huntsville, AL - Medicare Nurse Practitioner

Mr John Evan Willis, CRNP is a medicare enrolled "Nurse Practitioner" in Huntsville, Alabama. His current practice location is 4810 Whitesport Cir Sw, Suite 110, Huntsville, Alabama. You can reach out to his office (for appointments etc.) via phone at (256) 539-2531.

Mr John Evan Willis is licensed to practice in Alabama (license number 1-114309) 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 1275831703.

Contact Information

	Mr John Evan Willis, CRNP
	4810 Whitesport Cir Sw, Suite 110, Huntsville, AL 35801-7419
	(256) 539-2531
	(256) 533-0490

Map and Direction

Provider's Profile

Full Name	Mr John Evan Willis
Gender	Male
Speciality	Nurse Practitioner
Location	4810 Whitesport Cir Sw, Huntsville, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275831703
Provider Enumeration Date: 03/08/2011
Last Update Date: 03/08/2011

Medicare PECOS Information:

PECOS PAC ID: 2961686654
Enrollment ID: I20110404000709

Medical Identifiers

Medical identifiers for Mr John Evan Willis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275831703	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	1-114309 (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. Mr John Evan Willis allows following entities to bill medicare on his behalf.

Entity Name	Sleep & Pulmonary Care Center, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346406469 PECOS PAC ID: 5799850731 Enrollment ID: O20080826000497

Entity Name	Crestwood Physician Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154622520 PECOS PAC ID: 3476735648 Enrollment ID: O20110309000303

Entity Name	Midway Medical Clinic, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386984649 PECOS PAC ID: 4688819592 Enrollment ID: O20130326000041

Entity Name	Horizon Medical Clinic, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588904791 PECOS PAC ID: 6406092972 Enrollment ID: O20130429000634

Entity Name	Premier Medical Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083955173 PECOS PAC ID: 7012155609 Enrollment ID: O20130520000728

Entity Name	Southview Medical Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033554357 PECOS PAC ID: 7315188281 Enrollment ID: O20130719000228

Entity Name	Bsnr Llc. Hartselle Valley Family Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336800028 PECOS PAC ID: 9234525056 Enrollment ID: O20220405000013

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 John Evan 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 John Evan Willis, CRNP 4810 Whitesport Circle, Alabama Sleep Clinic Suite 110, Huntsville, AL 35801 Ph: (256) 539-2531	Mr John Evan Willis, CRNP 4810 Whitesport Cir Sw, Suite 110, Huntsville, AL 35801-7419 Ph: (256) 539-2531

Reviews and Comments

Nurse Practitioner Nurses in Huntsville, AL

Ms. Lisa Gay Rhodes, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 202 Wynn Drive, Rfcu Clinic, Huntsville, AL 35893 Phone: 256-722-4803 Fax: 256-722-4804
Hailey Farmer, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 Lowell Dr Se Ste 1, Huntsville, AL 35801 Phone: 256-265-4462 Fax: 256-265-4463
Elena Mihaela Kruse, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 415 Echurch St, Nw Suite 4, Huntsville, AL 35801 Phone: 256-489-0757
Mrs. Gina Marie Delgado, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Huntsville Hospital Cvicu, 101 Sivley Rd., Huntsville, AL 35801 Phone: 256-265-8641 Fax: 256-265-6722
Michael Larkins, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 201 Sivley Rd Sw Ste 500, Huntsville, AL 35801 Phone: 256-265-3880
Meghan J Dunning, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Sivley Rd Sw, Huntsville, AL 35801 Phone: 256-265-1000
Kayla Hebert, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4011 Meridian St., Huntsville, AL 35811 Phone: 256-372-5601 Fax: 256-934-2635

Mr John Evan Willis, CRNP - Medicare Nurse Practitioner in Huntsville, AL