Ryan Willis, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Blaine, Washington. His current practice location is
8097 Harborview Rd, Blaine, Washington. You can reach out to his office (for appointments etc.) via phone at
(360) 371-5855.
Ryan Willis is licensed to practice in Washington (license number AP61395684) 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 1669187548.
Provider's Profile
Full Name | Ryan Willis |
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Gender | Male |
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Speciality | Nurse Practitioner - Family |
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Location | 8097 Harborview Rd, Blaine, Washington |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1669187548
- Provider Enumeration Date: 01/16/2023
- Last Update Date: 04/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 5597130690
- Enrollment ID: I20230403001396
Medical Identifiers
Medical identifiers for Ryan Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669187548 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | AP61395684 (Washington) | 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. Ryan Willis allows following entities to bill medicare on his behalf.
Entity Name | Family Care Network, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1427001015 PECOS PAC ID: 0446142046 Enrollment ID: O20040329000176 |
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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. Ryan 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 |
Ryan Willis, ARNP 8097 Harborview Rd, Blaine, WA 98230-9639 Ph: (360) 371-5855 | Ryan Willis, ARNP 8097 Harborview Rd, Blaine, WA 98230-9639 Ph: (360) 371-5855 |
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