Mr Michael L Willis, ADULT NURSE PRACTITI - Medicare Nurse Practitioner in Brooklyn, NY

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Mr Michael L Willis, ADULT NURSE PRACTITI is a medicare enrolled "Nurse Practitioner - Adult Health" in Brooklyn, New York. His current practice location is 3201 Kings Highway, Beth Israel Medical Center, Brooklyn, New York. You can reach out to his office (for appointments etc.) via phone at (718) 677-6669.

Mr Michael L Willis is licensed to practice in New York (license number 302775) 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 1235363847.

Contact Information

Mr Michael L Willis, ADULT NURSE PRACTITI
3201 Kings Highway, Beth Israel Medical Center,
Brooklyn, NY 11234-2625
(718) 677-6669
Not Available

Map and Direction




Provider's Profile

Full NameMr Michael L Willis
GenderMale
SpecialityNurse Practitioner - Adult Health
Location3201 Kings Highway, Brooklyn, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1235363847
  • Provider Enumeration Date: 05/11/2009
  • Last Update Date: 05/11/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 9234388042
  • Enrollment ID: I20121010000334

Medical Identifiers

Medical identifiers for Mr Michael L Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235363847NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 302775 (New York)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 Michael L Willis allows following entities to bill medicare on his behalf.
Entity NameBimc Faculty Practice
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548594203
PECOS PAC ID: 5799888392
Enrollment ID: O20070320000596
Entity NameIcahn School Of Medicine At Mount Sinai
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770823551
PECOS PAC ID: 2264691070
Enrollment ID: O20131220001018

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 Michael L 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
Mr Michael L Willis, ADULT NURSE PRACTITI
3201 Kings Highway,
Brooklyn, NY 11234-2625

Ph: (718) 677-6669		Mr Michael L Willis, ADULT NURSE PRACTITI
3201 Kings Highway, Beth Israel Medical Center,
Brooklyn, NY 11234-2625

Ph: (718) 677-6669

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.