Amanda Mccormick Willis, CRNP in Boaz, AL - Medicare Nurse Practitioner

Amanda Mccormick Willis, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Boaz, Alabama. She graduated from nursing school in 2023 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice United Doctors Family Medical Center Llc, Gana Holdings, Llc and her current practice location is 2986 Us Highway 431, Boaz, Alabama. You can reach out to her office (for appointments etc.) via phone at (256) 840-8181.

Amanda Mccormick Willis is licensed to practice in Alabama (license number 1094434) 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 1508559956.

Contact Information

	Amanda Mccormick Willis, CRNP
	2986 Us Highway 431, Boaz, AL 35957-5848
	(256) 840-8181
	Not Available

Map and Direction

Provider's Profile

Full Name	Amanda Mccormick Willis
Gender	Female
Speciality	Nurse Practitioner
Experience	3 Years
Location	2986 Us Highway 431, Boaz, Alabama
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Amanda Mccormick Willis graduated from nursing school in 2023

NPI Data:

NPI Number: 1508559956
Provider Enumeration Date: 05/31/2023
Last Update Date: 05/31/2023

Medicare PECOS Information:

PECOS PAC ID: 7618330499
Enrollment ID: I20230825003039

Medical Identifiers

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

Identifier	Type	State	Issuer
1508559956	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1094434 (Alabama)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Marshall Medical Centers	Boaz, AL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
United Doctors Family Medical Center Llc	0648597567	13
Gana Holdings, Llc	3476978412	6

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. Amanda Mccormick Willis allows following entities to bill medicare on her behalf.

Entity Name	United Doctors Family Medical Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013313709 PECOS PAC ID: 0648597567 Enrollment ID: O20150402000069

Entity Name	Southern Divine Family Medical Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104456920 PECOS PAC ID: 0648692582 Enrollment ID: O20200622002415

Entity Name	Gana Holdings, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396375267 PECOS PAC ID: 3476978412 Enrollment ID: O20200807000386

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. Amanda Mccormick 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
Amanda Mccormick Willis, CRNP Po Box 697, Boaz, AL 35957-0697 Ph: (256) 840-8181	Amanda Mccormick Willis, CRNP 2986 Us Highway 431, Boaz, AL 35957-5848 Ph: (256) 840-8181

Reviews and Comments

Nurse Practitioner Nurses in Boaz, AL

Anna Ashley Allen, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2505 Us Highway 431, Boaz, AL 35957 Phone: 256-593-8310
Mrs. Kayla Stapp Gable, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2505 Us Highway 431, Boaz, AL 35957 Phone: 256-593-8310
Mrs. Kelsey Tucker Geer, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2505 Us Highway 431, Boaz, AL 35957 Phone: 256-490-7893
Mrs. Morgan Kacee Pee, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2891 Us Highway 431, Boaz, AL 35957 Phone: 256-840-1716
Ethan Caleb Bonds, CRNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2986 Us Highway 431, Boaz, AL 35957 Phone: 256-840-8181
Sangduan Barnes, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2986 Us Highway 431, Boaz, AL 35957 Phone: 256-840-8181 Fax: 256-744-7272
Patrick Sellers, CRNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2986 Us Highway 431, Boaz, AL 35957 Phone: 256-840-8181 Fax: 256-744-7290

Amanda Mccormick Willis, CRNP - Medicare Nurse Practitioner in Boaz, AL