Ms Tonia Anitra Willis, C-NP in Detroit, MI - Medicare Nurse Practitioner

Ms Tonia Anitra Willis, C-NP is a medicare enrolled "Nurse Practitioner - Primary Care" in Detroit, Michigan. Her current practice location is 14102 Saint Marys St, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 673-8076.

Ms Tonia Anitra Willis is licensed to practice in Michigan (license number 4704249744) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1912263914.

Contact Information

	Ms Tonia Anitra Willis, C-NP
	14102 Saint Marys St, Detroit, MI 48227
	(313) 673-8076
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Tonia Anitra Willis
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	14102 Saint Marys St, Detroit, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912263914
Provider Enumeration Date: 04/04/2012
Last Update Date: 04/04/2012

Medicare PECOS Information:

PECOS PAC ID: 7618291212
Enrollment ID: I20150129001864

Medical Identifiers

Medical identifiers for Ms Tonia Anitra Willis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912263914	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	4704249744 (Michigan)	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. Ms Tonia Anitra Willis allows following entities to bill medicare on her behalf.

Entity Name	Halo Medical Group Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811214489 PECOS PAC ID: 1850587890 Enrollment ID: O20101202000201

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 Tonia Anitra 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
Ms Tonia Anitra Willis, C-NP 14102 Saint Marys St, Detroit, MI 48227 Ph: (313) 673-8076	Ms Tonia Anitra Willis, C-NP 14102 Saint Marys St, Detroit, MI 48227 Ph: (313) 673-8076

Reviews and Comments

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Ms Tonia Anitra Willis, C-NP - Medicare Nurse Practitioner in Detroit, MI