Phyllis Lynn Willis, CRNP in Dothan, AL - Medicare Nurse Practitioner

Phyllis Lynn Willis, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Dothan, Alabama. Her current practice location is 1901 Melba Dr, Dothan, Alabama. You can reach out to her office (for appointments etc.) via phone at (334) 794-6611.

Phyllis Lynn Willis is licensed to practice in Alabama (license number 1074431) 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 1922270958.

Contact Information

	Phyllis Lynn Willis, CRNP
	1901 Melba Dr, Dothan, AL 36301-3017
	(334) 794-6611
	(334) 794-6614

Map and Direction

Provider's Profile

Full Name	Phyllis Lynn Willis
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1901 Melba Dr, Dothan, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922270958
Provider Enumeration Date: 03/31/2008
Last Update Date: 06/26/2012

Medicare PECOS Information:

PECOS PAC ID: 3678643228
Enrollment ID: I20080609000391

Medical Identifiers

Medical identifiers for Phyllis Lynn Willis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922270958	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1074431 (Alabama)	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. Phyllis Lynn Willis allows following entities to bill medicare on her behalf.

Entity Name	Ronnie Chu, M. D., P C
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447450465 PECOS PAC ID: 8022009166 Enrollment ID: O20040519000351

Entity Name	Northern Alabama Physicians, Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669618310 PECOS PAC ID: 0143379388 Enrollment ID: O20090519000375

Entity Name	App Of Alabama Ed Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659646040 PECOS PAC ID: 3577725068 Enrollment ID: O20120430000174

Entity Name	App Of Alabama Hm, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245713684 PECOS PAC ID: 8921342858 Enrollment ID: O20181204002903

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. Phyllis Lynn 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
Phyllis Lynn Willis, CRNP 1901 Melba Dr, Dothan, AL 36301-3017 Ph: (334) 794-6611	Phyllis Lynn Willis, CRNP 1901 Melba Dr, Dothan, AL 36301-3017 Ph: (334) 794-6611

Reviews and Comments

Nurse Practitioner Nurses in Dothan, AL

Julia Jones Holloway, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1812 E Main St, Dothan, AL 36301 Phone: 334-792-5184 Fax: 334-792-5190
Heather Young, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 480 Honeysuckle Rd, Dothan, AL 36305 Phone: 334-836-1212
Jenna Oates, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 287 Healthwest Dr, Dothan, AL 36303 Phone: 334-792-9500
Mrs. Samantha Poole Carter, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4300 W Main St Ste 15, Dothan, AL 36305 Phone: 334-944-7056 Fax: 334-944-7063
Elizabeth Ann Mcfarland, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 207 Haven Dr, Dothan, AL 36301 Phone: 334-793-3319 Fax: 334-793-2291
Amanda B Imming, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1901 Melba Drive, Dothan, AL 36301 Phone: 334-794-6611 Fax: 334-794-6614
Vickie D Sconyers, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4300 West Main St, Womens Healthcare Of Dothan Pc Ste 31, Dothan, AL 36305 Phone: 334-793-6511 Fax: 334-677-5642

Phyllis Lynn Willis, CRNP - Medicare Nurse Practitioner in Dothan, AL