Susan Willer, in Springfield, IL - Medicare Nurse Practitioner

Susan Willer, is a medicare enrolled "Nurse Practitioner - Family" in Springfield, Illinois. Her current practice location is 701 N 1st St, Springfield, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 788-3891.

Susan Willer is licensed to practice in Illinois (license number 209012987) 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 1730565870.

Contact Information

	Susan Willer,
	701 N 1st St, Springfield, IL 62781-0001
	(217) 788-3891
	(217) 788-6459

Map and Direction

Provider's Profile

Full Name	Susan Willer
Gender	Female
Speciality	Nurse Practitioner - Family
Location	701 N 1st St, Springfield, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730565870
Provider Enumeration Date: 07/30/2015
Last Update Date: 08/20/2024

Medicare PECOS Information:

PECOS PAC ID: 4082922489
Enrollment ID: I20220719001656

Medical Identifiers

Medical identifiers for Susan Willer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730565870	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209012987 (Illinois)	Primary
363LF0000X	Nurse Practitioner - Family	270405 (Arizona)	Secondary

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. Susan Willer allows following entities to bill medicare on her behalf.

Entity Name	Southern Arizona Urgent Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285994004 PECOS PAC ID: 9335398031 Enrollment ID: O20121011000888

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. Susan Willer 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
Susan Willer, 701 N 1st St, Springfield, IL 62781-0001 Ph: (217) 788-3891	Susan Willer, 701 N 1st St, Springfield, IL 62781-0001 Ph: (217) 788-3891

Reviews and Comments

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Susan Willer, - Medicare Nurse Practitioner in Springfield, IL