Dr Willard Randolph Vannostrand Iii, MD - Medicare General Practice in Green Valley, AZ

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Dr Willard Randolph Vannostrand Iii, MD is a medicare enrolled "General Practice" physician in Green Valley, Arizona. His current practice location is 1260 S Campbell Ave Bldg 2, Green Valley, Arizona. You can reach out to his office (for appointments etc.) via phone at (520) 407-5400.

Dr Willard Randolph Vannostrand Iii is licensed to practice in Arizona (license number 7028) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1922333772.

Contact Information

Dr Willard Randolph Vannostrand Iii, MD
1260 S Campbell Ave Bldg 2,
Green Valley, AZ 85614-0502
(520) 407-5400
(520) 407-5990

Map and Direction




Physician's Profile

Full NameDr Willard Randolph Vannostrand Iii
GenderMale
SpecialityGeneral Practice
Location1260 S Campbell Ave Bldg 2, Green Valley, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1922333772
  • Provider Enumeration Date: 10/13/2009
  • Last Update Date: 08/23/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5395886402
  • Enrollment ID: I20100112000460

Medical Identifiers

Medical identifiers for Dr Willard Randolph Vannostrand Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922333772NPI-NPPES
01WCFBXA1OtherAZMEDICARE BILLING NO.

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 7028 (Arizona)Primary

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. Dr Willard Randolph Vannostrand Iii allows following entities to bill medicare on his behalf.
Entity NameBenson Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336118322
PECOS PAC ID: 3274443056
Enrollment ID: O20040109000537
Entity NameBisbee Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518968767
PECOS PAC ID: 5092626168
Enrollment ID: O20040623001007
Entity NameNes Arizona Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205217700
PECOS PAC ID: 2163737206
Enrollment ID: O20150818005113
Entity NameFour Corners Emergency Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144793464
PECOS PAC ID: 5092053769
Enrollment ID: O20190205003475

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. Dr Willard Randolph Vannostrand 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 AddressPractice Location Address
Dr Willard Randolph Vannostrand Iii, MD
1260 S Campbell Ave Bldg 2,
Green Valley, AZ 85614-0502

Ph: (520) 407-5600		Dr Willard Randolph Vannostrand Iii, MD
1260 S Campbell Ave Bldg 2,
Green Valley, AZ 85614-0502

Ph: (520) 407-5400

Reviews and Comments


General Practice Doctors in Green Valley, AZ

William Michael Cochran, M.D.
General Practice
Medicare: Not Enrolled in Medicare
Practice Location: 140 W Duval Mine Rd, Suite 106, Green Valley, AZ 85614
Phone: 520-989-3521    Fax: 520-989-3522

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.