Willard Marvin Anderson Iii, PMHNP in Panama City, FL

Willard Marvin Anderson Iii, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Panama City, Florida. He went to Vanderbilt University School Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Florida Therapy Services Inc, Pancare Of Florida, Inc and his current practice location is 459 Grace Ave Ste 100, Panama City, Florida. You can reach out to his office (for appointments etc.) via phone at (615) 568-5529.

Willard Marvin Anderson Iii is licensed to practice in Florida (license number 9348879) 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 1063756211.

Contact Information

	Willard Marvin Anderson Iii, PMHNP
	459 Grace Ave Ste 100, Panama City, FL 32401-2757
	(615) 568-5529
	Not Available

Map and Direction

Provider's Profile

Full Name	Willard Marvin Anderson Iii
Gender	Male
Speciality	Nurse Practitioner
Experience	12 Years
Location	459 Grace Ave Ste 100, Panama City, Florida
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:

Willard Marvin Anderson Iii attended and graduated from Vanderbilt University School Of Medicine in 2012

NPI Data:

NPI Number: 1063756211
Provider Enumeration Date: 11/11/2012
Last Update Date: 07/28/2023

Medicare PECOS Information:

PECOS PAC ID: 7618120965
Enrollment ID: I20130117000006

Medical Identifiers

Medical identifiers for Willard Marvin Anderson Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063756211	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	9348879 (Florida)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Florida Therapy Services Inc	9133022577	21
Pancare Of Florida, Inc	3476574229	28

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. Willard Marvin Anderson Iii allows following entities to bill medicare on his behalf.

Entity Name	Florida Therapy Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972548022 PECOS PAC ID: 9133022577 Enrollment ID: O20040209000800

Entity Name	Chrysalis Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700961646 PECOS PAC ID: 8325186646 Enrollment ID: O20091106000319

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. Willard Marvin Anderson Iii 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
Willard Marvin Anderson Iii, PMHNP 1956 Barker Camp Rd, Dunlap, TN 37327-5939 Ph: (615) 568-5529	Willard Marvin Anderson Iii, PMHNP 459 Grace Ave Ste 100, Panama City, FL 32401-2757 Ph: (615) 568-5529

Reviews and Comments

Nurse Practitioner Nurses in Panama City, FL

Kaylyn Marie Khan, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3808 E 3rd St, Panama City, FL 32401 Phone: 850-785-9511 Fax: 850-763-9494
Mrs. Elizabeth Ruth Doss, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 619 N Cove Blvd, Panama City, FL 32401 Phone: 850-913-6960 Fax: 850-913-6961
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Mrs. Linda Jolene Gemsch, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2420 Jenks Ave, Suite 5, Panama City, FL 32405 Phone: 850-763-3635 Fax: 850-770-3265
Mrs. Suzanne Selley Martincak, CNM, FNP, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5610 Highway 2297, Panama City, FL 32404 Phone: 850-387-5111 Fax: 850-252-6166
Ms. Waneda Kay Wolfe, M.N., C.N.S., A.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Doctors Dr Ste C, Panama City, FL 32405 Phone: 850-814-8400 Fax: 850-215-8405
Robin Lynn Johnston, AGACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 801 E 6th St Ste 606, Panama City, FL 32401 Phone: 850-804-3800 Fax: 850-608-6434

Willard Marvin Anderson Iii, PMHNP - Medicare Nurse Practitioner in Panama City, FL