Nicholas Willis, MD in Pine Bluff, AR - Medicare Interventional Cardiology

Nicholas Willis, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Pine Bluff, Arkansas. He went to University Of Arkansas College Of Medicine and graduated in 2005 and has 20 years of diverse experience with area of expertise as Interventional Cardiology. He is a member of the group practice Jefferson Hospital Association Inc and his current practice location is 1601 W 40th Ave, Suite 301, Pine Bluff, Arkansas. You can reach out to his office (for appointments etc.) via phone at (870) 541-4285.

Nicholas Willis is licensed to practice in Arkansas (license number E5292) 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 1629292883.

Contact Information

	Nicholas Willis, MD
	1601 W 40th Ave, Suite 301, Pine Bluff, AR 71603-6319
	(870) 541-4285
	(870) 541-4297

Map and Direction

Physician's Profile

Full Name	Nicholas Willis
Gender	Male
Speciality	Interventional Cardiology
Experience	20 Years
Location	1601 W 40th Ave, Pine Bluff, Arkansas
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:

Nicholas Willis attended and graduated from University Of Arkansas College Of Medicine in 2005

NPI Data:

NPI Number: 1629292883
Provider Enumeration Date: 04/12/2007
Last Update Date: 10/19/2020

Medicare PECOS Information:

PECOS PAC ID: 2668545294
Enrollment ID: I20080930000671

Medical Identifiers

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

Identifier	Type	State	Issuer
1629292883	NPI	-	NPPES
168857001	Medicaid	AR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0000X	Internal Medicine - Cardiovascular Disease	E5292 (Arkansas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Jefferson Regional Medical Center	Pine bluff, AR	Hospital
Drew Memorial Hospital	Monticello, AR	Hospital
Delta Memorial Hospital	Dumas, AR	Hospital
Ashley County Medical Center	Crossett, AR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Jefferson Hospital Association Inc	8123927431	68

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. Nicholas Willis allows following entities to bill medicare on his behalf.

Entity Name	Jefferson Hospital Association Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932157674 PECOS PAC ID: 8123927431 Enrollment ID: O20040106000512

Entity Name	Jefferson Hospital Association Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710931985 PECOS PAC ID: 8123927431 Enrollment ID: O20040429000375

Entity Name	Jefferson Hospital Association Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174542906 PECOS PAC ID: 8123927431 Enrollment ID: O20070202000152

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. Nicholas 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
Nicholas Willis, MD 1601 W 40th Ave, Suite 301, Pine Bluff, AR 71603-6319 Ph: (870) 541-4285	Nicholas Willis, MD 1601 W 40th Ave, Suite 301, Pine Bluff, AR 71603-6319 Ph: (870) 541-4285

Reviews and Comments

Internal Medicine Doctors in Pine Bluff, AR

Mr. James Steven Cash, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1710 W 42nd Ave, Pine Bluff, AR 71603 Phone: 870-535-4400 Fax: 870-535-4447
Dr. Ioannis Papayannis, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 4800 S Hazel St, Pine Bluff, AR 71603 Phone: 870-534-5533 Fax: 870-534-5535
Dr. Mervin Dale Terrell, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1220 W 42nd Ave, Pine Bluff, AR 71603 Phone: 870-541-0013 Fax: 870-541-0014
Dr. Brandi Pauline Wright, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1420 W 43rd Ave Ste A, Pine Bluff, AR 71603 Phone: 870-541-6020 Fax: 870-541-6021
Naznin Jamal, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1600 W 40th Ave, Pine Bluff, AR 71603 Phone: 870-541-7100
Syed Sheheryar Ahmed Shah, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1420 W 43rd Ave Ste A, Pine Bluff, AR 71603 Phone: 870-541-6020 Fax: 870-541-6021
James Trice, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 7005 S Hazel St, Pine Bluff, AR 71603 Phone: 870-536-3070 Fax: 870-536-3171

Nicholas Willis, MD - Medicare Interventional Cardiology in Pine Bluff, AR