Candace S Willis, FNP is a medicare enrolled "Nurse Practitioner - Family" physician in Erin, Tennessee. She graduated from medical school in 2012 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Lexington Clinic Corp, Lexington Hospital Corporation, Lexington Family Physicians Llc and her current practice location is
5001 E Main St, Erin, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(931) 289-4211.
Candace S Willis is licensed to practice in Tennessee (license number APN16883) 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 1659627388.
Physician's Profile
| Full Name | Candace S Willis |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 13 Years |
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| Location | 5001 E Main St, Erin, Tennessee |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Candace S Willis graduated from medical school in 2012
NPI Data:
- NPI Number: 1659627388
- Provider Enumeration Date: 07/31/2012
- Last Update Date: 07/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 5395997811
- Enrollment ID: I20121210000091
Medical Identifiers
Medical identifiers for Candace S Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659627388 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | APN16883 (Tennessee) | Secondary |
| 207Q00000X | Family Medicine | APN16883 (Tennessee) | Secondary |
| 207R00000X | Internal Medicine | APN16883 (Tennessee) | Secondary |
| 208000000X | Pediatrics | APN16883 (Tennessee) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | APN16883 (Tennessee) | Secondary |
| 208600000X | Surgery | APN16883 (Tennessee) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APN16883 (Tennessee) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Lexington Clinic Corp | 2466468558 | 18 |
| Lexington Hospital Corporation | 7719896414 | 22 |
| Lexington Family Physicians Llc | 8628120342 | 12 |
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. Candace S Willis allows following entities to bill medicare on her behalf.
| Entity Name | Lexington Clinic Corp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780652107
PECOS PAC ID: 2466468558
Enrollment ID: O20060227000599 |
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| Entity Name | Lexington Hospital Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083809669
PECOS PAC ID: 7719896414
Enrollment ID: O20090324000611 |
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| Entity Name | Lexington Family Physicians Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265660708
PECOS PAC ID: 8628120342
Enrollment ID: O20090710000103 |
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| Entity Name | Shamrock Community Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033878277
PECOS PAC ID: 8325422082
Enrollment ID: O20220829003239 |
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| Entity Name | Haywood County Community Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790444933
PECOS PAC ID: 7911373204
Enrollment ID: O20221011001672 |
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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. Candace S 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 |
|---|
Candace S Willis, FNP
5001 E Main St,
Erin, TN 37061-4115
Ph: (931) 289-4211 | Candace S Willis, FNP
5001 E Main St,
Erin, TN 37061-4115
Ph: (931) 289-4211 |
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