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

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 19 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 NameNicholas Willis
GenderMale
SpecialityInterventional Cardiology
Experience19 Years
Location1601 W 40th Ave, Pine Bluff, Arkansas
Accepts Medicare AssignmentsYes. 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.
IdentifierTypeStateIssuer
1629292883NPI-NPPES
168857001MedicaidAR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease E5292 (Arkansas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Jefferson Regional Medical CenterPine bluff, ARHospital
Chicot Memorial Medical CenterLake village, ARHospital
Drew Memorial HospitalMonticello, ARHospital
Ashley County Medical CenterCrossett, ARHospital
Chi-st Vincent InfirmaryLittle rock, ARHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Jefferson Hospital Association Inc812392743152

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 NameJefferson Hospital Association Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932157674
PECOS PAC ID: 8123927431
Enrollment ID: O20040106000512
Entity NameJefferson Hospital Association Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710931985
PECOS PAC ID: 8123927431
Enrollment ID: O20040429000375
Entity NameJefferson Hospital Association Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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. 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: Medicare Enrolled
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: Medicare Enrolled
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
Dr. Syed Abdus Samad, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 4800 Hazel St, Pine Bluff, AR 71603
Phone: 870-534-5533    Fax: 870-534-5535

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.