Nicholas Andrew Willis, in Portland, OR - Medicare Registered Nurse

Nicholas Andrew Willis, is a medicare enrolled "Registered Nurse" in Portland, Oregon. His current practice location is 3455 Sw Us Veterans Hospital Rd, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (360) 431-4408.

Nicholas Andrew Willis is licensed to practice in Oregon (license number 201900742RN) 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 1609429125.

Contact Information

	Nicholas Andrew Willis,
	3455 Sw Us Veterans Hospital Rd, Portland, OR 97239-3076
	(360) 431-4408
	Not Available

Map and Direction

Provider's Profile

Full Name	Nicholas Andrew Willis
Gender	Male
Speciality	Registered Nurse
Location	3455 Sw Us Veterans Hospital Rd, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609429125
Provider Enumeration Date: 07/23/2019
Last Update Date: 07/23/2019

Medicare PECOS Information:

PECOS PAC ID: 5991187486
Enrollment ID: I20220730000227

Medical Identifiers

Medical identifiers for Nicholas Andrew Willis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609429125	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	201900742RN (Oregon)	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. Nicholas Andrew Willis allows following entities to bill medicare on his behalf.

Entity Name	Anesthesia Associates Northwest Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548281751 PECOS PAC ID: 7618908484 Enrollment ID: O20050822001459

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. Nicholas Andrew 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
Nicholas Andrew Willis, 3455 Sw Us Veterans Hospital Rd, Portland, OR 97239-3076 Ph: (360) 431-4408	Nicholas Andrew Willis, 3455 Sw Us Veterans Hospital Rd, Portland, OR 97239-3076 Ph: (360) 431-4408

Reviews and Comments

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Nanis Gilmore, RN, CDE Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 541 Ne 20th Ave, Suite 210, Portland, OR 97232 Phone: 503-233-6940 Fax: 503-236-2676
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Nicholas Andrew Willis, - Medicare Registered Nurse in Portland, OR