Mrs Jennifer Tricia Willis, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Conyers, GA

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Mrs Jennifer Tricia Willis, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Conyers, Georgia. She graduated from nursing school in 2001 and has 23 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice At Your Service Anesthesia And Therapeutics Llc, Mak Anesthesia Northside Affiliates Llc and her current practice location is 2608 Crest Valley Drive, Conyers, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 428-2237.

Mrs Jennifer Tricia Willis is licensed to practice in Georgia (license number 180459) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1427043983.

Contact Information

Mrs Jennifer Tricia Willis, CRNA
2608 Crest Valley Drive,
Conyers, GA 30094
(404) 428-2237
(404) 428-2237

Map and Direction




Provider's Profile

Full NameMrs Jennifer Tricia Willis
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience23 Years
Location2608 Crest Valley Drive, Conyers, Georgia
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Jennifer Tricia Willis graduated from nursing school in 2001
  NPI Data:
  • NPI Number: 1427043983
  • Provider Enumeration Date: 09/12/2005
  • Last Update Date: 12/23/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 9032114210
  • Enrollment ID: I20060921000317

Medical Identifiers

Medical identifiers for Mrs Jennifer Tricia Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427043983NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 180459 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
At Your Service Anesthesia And Therapeutics Llc08406636545
Mak Anesthesia Northside Affiliates Llc731520371836

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. Mrs Jennifer Tricia Willis allows following entities to bill medicare on her behalf.
Entity NameRockdale Anesthesia Services, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619028396
PECOS PAC ID: 4284536855
Enrollment ID: O20040123000436
Entity NameProgressive Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215225560
PECOS PAC ID: 7618148263
Enrollment ID: O20110912000776
Entity NameWgg Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578843280
PECOS PAC ID: 4981875325
Enrollment ID: O20110915000641
Entity NameGreater Atlanta Anesthesia, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285043158
PECOS PAC ID: 7315264645
Enrollment ID: O20150326000819
Entity NameCoastal Ambulatory Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750753786
PECOS PAC ID: 1052613023
Enrollment ID: O20160107001775
Entity NameMak Anesthesia Holdings, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912452939
PECOS PAC ID: 4284917204
Enrollment ID: O20170216001563
Entity NameGi Anesthesia Of Georgia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326569187
PECOS PAC ID: 0446516769
Enrollment ID: O20171102000283
Entity NameMak Anesthesia Northside Affiliates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609390103
PECOS PAC ID: 7315203718
Enrollment ID: O20171116002499
Entity NameAt Your Service Anesthesia, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205318029
PECOS PAC ID: 8628319100
Enrollment ID: O20190410001179
Entity NameAnesthesia Dynamics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073001012
PECOS PAC ID: 3779832530
Enrollment ID: O20200508002106
Entity NameAt Your Service Anesthesia And Therapeutics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689327322
PECOS PAC ID: 0840663654
Enrollment ID: O20230227000194
Entity NameEverest Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568158418
PECOS PAC ID: 2961868559
Enrollment ID: O20230524002431

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. Mrs Jennifer Tricia 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 AddressPractice Location Address
Mrs Jennifer Tricia Willis, CRNA
2608 Crest Valley Drive,
Conyers, GA 30094

Ph: (770) 648-8237		Mrs Jennifer Tricia Willis, CRNA
2608 Crest Valley Drive,
Conyers, GA 30094

Ph: (404) 428-2237

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Conyers, GA

Mrs. Marcia E Steinberg, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1388 Wellbrook Cir Ne, Conyers, GA 30012
Phone: 770-929-9033    Fax: 770-929-9092
Regina Greenfield, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1359 Milstead Rd Ne, Suite 103, Conyers, GA 30012
Phone: 770-388-7745    Fax: 770-922-0526
Tabitha Beverly, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1388b Wellbrook Cir Ne, Conyers, GA 30012
Phone: 770-388-7745    Fax: 770-922-0526
Lisa R. Johnson, CRNA
Nurse Anesthetist - CR
Medicare: May Accept Medicare Assignments
Practice Location: 2053 Reflection Creek Dr, Conyers, GA 30013
Phone: 678-371-9187    
Veronica Chambliss, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1388b Wellbrook Cir Ne, Conyers, GA 30012
Phone: 770-388-7745    Fax: 770-922-0526
Talitha Bonner, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1388b Wellbrook Cir Ne, Conyers, GA 30012
Phone: 770-388-7745    Fax: 770-922-0526

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.