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

Amanda Mccormick Willis, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Boaz, Alabama. 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 does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. 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 - Family
Location	2986 Us Highway 431, Boaz, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

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

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: Medicare Enrolled Practice Location: 2505 Us Highway 431, Boaz, AL 35957 Phone: 256-593-8310
Mrs. Kelsey Tucker Geer, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2505 Us Highway 431, Boaz, AL 35957 Phone: 256-490-7893
Jason Andrew Rowan, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 291 Rowan Dr, Boaz, AL 35956 Phone: 256-572-7390
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: Accepting Medicare Assignments Practice Location: 2986 Us Highway 431, Boaz, AL 35957 Phone: 256-840-8181 Fax: 256-744-7290
Ashley Nicole Colquitt, CRNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2525 Us Highway 431, Suite 104, Boaz, AL 35957 Phone: 256-840-4653 Fax: 256-840-4665

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