Summer Willis, FNP in Longview, TX - Medicare Nurse Practitioner

Summer Willis, FNP is a medicare enrolled "Nurse Practitioner" in Longview, Texas. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Christus Trinity Clinic and her current practice location is 705 E Marshall Ave Ste 5000, Longview, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 315-3646.

Summer Willis is licensed to practice in Texas (license number AP140446) 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 1477016095.

Contact Information

	Summer Willis, FNP
	705 E Marshall Ave Ste 5000, Longview, TX 75601-5660
	(903) 315-3646
	Not Available

Map and Direction

Provider's Profile

Full Name	Summer Willis
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	705 E Marshall Ave Ste 5000, Longview, Texas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Summer Willis graduated from nursing school in 2019

NPI Data:

NPI Number: 1477016095
Provider Enumeration Date: 04/10/2019
Last Update Date: 06/02/2022

Medicare PECOS Information:

PECOS PAC ID: 8426391384
Enrollment ID: I20190515002980

Medical Identifiers

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

Identifier	Type	State	Issuer
1477016095	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP140446 (Texas)	Secondary
363L00000X	Nurse Practitioner	AP140446 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Christus Good Shepherd Medical Center	Longview, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Christus Trinity Clinic	3072426741	1217

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. Summer Willis allows following entities to bill medicare on her behalf.

Entity Name	Christus Trinity Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091

Entity Name	Longview Integrated Medicine Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801302203 PECOS PAC ID: 1456612217 Enrollment ID: O20180220000059

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. Summer 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
Summer Willis, FNP 705 E Marshall Ave Ste 5000, Longview, TX 75601-5660 Ph: (903) 315-3646	Summer Willis, FNP 705 E Marshall Ave Ste 5000, Longview, TX 75601-5660 Ph: (903) 315-3646

Reviews and Comments

Nurse Practitioner Nurses in Longview, TX

Sarah Faye Earnest, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 410 N 4th St, Longview, TX 75601 Phone: 903-234-8808 Fax: 903-234-9769
Christina Lea Croley, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 701 E Marshall Ave Ste 200, Longview, TX 75601 Phone: 903-236-2222
Dorothy Mckenzie Womack, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3535 N Fourth St Ste 400, Longview, TX 75605 Phone: 903-757-3881 Fax: 903-757-5948
Mary Mckenzie, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2021 W Loop 281, Longview, TX 75604 Phone: 903-295-1396
Ms. Erica O Salami, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 703 E Marshall Ave Ste 4003, Longview, TX 75601 Phone: 903-315-2032
Jennifer Borrego, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-1488 Fax: 903-315-1656
Christy Anne Cobb, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 707 Hollybrook Dr, Longview, TX 75605 Phone: 903-291-6223 Fax: 903-291-6222

Summer Willis, FNP - Medicare Nurse Practitioner in Longview, TX