Zachary Randall Willis, in Potsdam, NY - Medicare Physician Assistant

Zachary Randall Willis, is a medicare enrolled "Physician Assistant" in Potsdam, New York. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Canton-potsdam Hospital and his current practice location is 50 Leroy St, Potsdam, New York. You can reach out to his office (for appointments etc.) via phone at (315) 265-3300.

Zachary Randall Willis is licensed to practice in New York (license number 025386) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1265041073.

Contact Information

	Zachary Randall Willis,
	50 Leroy St, Potsdam, NY 13676-1799
	(315) 265-3300
	Not Available

Map and Direction

Provider's Profile

Full Name	Zachary Randall Willis
Gender	Male
Speciality	Physician Assistant
Experience	4 Years
Location	50 Leroy St, Potsdam, New York
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Zachary Randall Willis graduated from nursing school in 2020

NPI Data:

NPI Number: 1265041073
Provider Enumeration Date: 07/28/2020
Last Update Date: 07/28/2020

Medicare PECOS Information:

PECOS PAC ID: 8426476466
Enrollment ID: I20200908002727

Medical Identifiers

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

Identifier	Type	State	Issuer
1265041073	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	025386 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Canton-potsdam Hospital	Potsdam, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Canton-potsdam Hospital	6204827280	197

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. Zachary Randall 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
Zachary Randall Willis, 568 Cr 35, Potsdam, NY 13676-3143 Ph: (443) 417-6341	Zachary Randall Willis, 50 Leroy St, Potsdam, NY 13676-1799 Ph: (315) 265-3300

Reviews and Comments

Physician Assistant Nurses in Potsdam, NY

Heather Mackinnon, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 50 Leroy St, Potsdam, NY 13676 Phone: 315-265-3300
Bernadette Avila, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 49 Lawrence Ave, Potsdam, NY 13676 Phone: 315-261-5550
An Tulloch, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12 Elm St, Potsdam, NY 13676 Phone: 315-261-5420
Christina Kashmer, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 50 Leroy St, Potsdam, NY 13676 Phone: 315-265-3300
Luke Alexander Gillis, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 50 Leroy St, Potsdam, NY 13676 Phone: 315-265-3300
Matthew Cheevers, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 50 Leroy St, Potsdam, NY 13676 Phone: 315-265-3300
Dawn M. White, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 49 Lawrence Ave, Potsdam, NY 13676 Phone: 315-261-5550 Fax: 315-261-5599

Zachary Randall Willis, - Medicare Physician Assistant in Potsdam, NY