Mr Micah A Willis, FNP in Tifton, GA - Medicare Nurse Practitioner

Mr Micah A Willis, FNP is a medicare enrolled "Nurse Practitioner - Family" in Tifton, Georgia. He graduated from nursing school in 2007 and has 17 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Southcentral Foundation and his current practice location is 1815 Old Ocilla Rd, Tifton, Georgia. You can reach out to his office (for appointments etc.) via phone at (229) 391-3535.

Mr Micah A Willis is licensed to practice in Georgia (license number RN151609) 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 1659567832.

Contact Information

	Mr Micah A Willis, FNP
	1815 Old Ocilla Rd, Tifton, GA 31794-1617
	(229) 391-3535
	(229) 391-3529

Map and Direction

Provider's Profile

Full Name	Mr Micah A Willis
Gender	Male
Speciality	Nurse Practitioner
Experience	17 Years
Location	1815 Old Ocilla Rd, Tifton, Georgia
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 Micah A Willis graduated from nursing school in 2007

NPI Data:

NPI Number: 1659567832
Provider Enumeration Date: 09/20/2007
Last Update Date: 09/20/2007

Medicare PECOS Information:

PECOS PAC ID: 5294804597
Enrollment ID: I20170929001950

Medical Identifiers

Medical identifiers for Mr Micah A Willis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659567832	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN151609 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southcentral Foundation	5496663627	116

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 Micah A Willis allows following entities to bill medicare on his behalf.

Entity Name	Alaska Native Tribal Health Consortium
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437189339 PECOS PAC ID: 6709780265 Enrollment ID: O20031125000772

Entity Name	Southcentral Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780614263 PECOS PAC ID: 5496663627 Enrollment ID: O20051027000416

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 Micah A 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 Micah A Willis, FNP 1815 Old Ocilla Rd, Tifton, GA 31794-1617 Ph: (229) 391-3535	Mr Micah A Willis, FNP 1815 Old Ocilla Rd, Tifton, GA 31794-1617 Ph: (229) 391-3535

Reviews and Comments

Nurse Practitioner Nurses in Tifton, GA

Mrs. Lisa Dian Smith, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1806 Lee Ave, Tifton, GA 31794 Phone: 229-386-1528 Fax: 229-388-0556
Ana Alicia Gomez Nova, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1909 Us Highway 82 W Ste 3&4, Tifton, GA 31793 Phone: 229-445-3509
Callie Haynes, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1622 Madison Ave, Tifton, GA 31794 Phone: 229-387-8061
Hannah Janleigh Vickers, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1948 Old Ocilla Rd, Tifton, GA 31794 Phone: 229-391-3500 Fax: 229-391-3499
Rachel Ware Holloway, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2225 Us Highway 41 N, Tifton, GA 31794 Phone: 229-391-4100
David Ryan Atkins, APRN-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 229-382-7120
Dola Tejaskumar Patel, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 334 Tifton Eldorado Rd, Tifton, GA 31794 Phone: 229-391-2301 Fax: 229-386-3221

Mr Micah A Willis, FNP - Medicare Nurse Practitioner in Tifton, GA