Ms Terri Anne Willis, NURSE PRACTITIONER - Medicare Nurse Practitioner in Baltimore, MD

Ms Terri Anne Willis, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Adult Health" in Baltimore, Maryland. She graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Icahn School Of Medicine At Mount Sinai and her current practice location is 9105 Franklin Square Dr, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 574-1330.

Ms Terri Anne Willis is licensed to practice in Maryland (license number R238735) 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 1245477694.

Contact Information

Ms Terri Anne Willis, NURSE PRACTITIONER
9105 Franklin Square Dr,
Baltimore, MD 21237-3930
(410) 574-1330
(410) 574-2691

Map and Direction




Provider's Profile

Full NameMs Terri Anne Willis
GenderFemale
SpecialityNurse Practitioner
Experience19 Years
Location9105 Franklin Square Dr, Baltimore, Maryland
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:
  • Ms Terri Anne Willis graduated from nursing school in 2005
  NPI Data:
  • NPI Number: 1245477694
  • Provider Enumeration Date: 01/07/2009
  • Last Update Date: 06/25/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 1557668530
  • Enrollment ID: I20221117001456

Medical Identifiers

Medical identifiers for Ms Terri Anne Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245477694NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 304203 (New York)Secondary
363LA2200XNurse Practitioner - Adult Health R238735 (Maryland)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Icahn School Of Medicine At Mount Sinai22646910702323

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. Ms Terri Anne Willis allows following entities to bill medicare on her behalf.
Entity NameIcahn School Of Medicine At Mount Sinai
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487912416
PECOS PAC ID: 2264691070
Enrollment ID: O20120925000424

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. Ms Terri Anne 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
Ms Terri Anne Willis, NURSE PRACTITIONER
851 Manhattan Ave,
Brooklyn, NY 11222-2539

Ph: (718) 752-7280
Ms Terri Anne Willis, NURSE PRACTITIONER
9105 Franklin Square Dr,
Baltimore, MD 21237-3930

Ph: (410) 574-1330

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.