Amber Dawn Willis, APN-BC in Mount Vernon, IL

Amber Dawn Willis, APN-BC is a medicare enrolled "Nurse Practitioner - Family" in Mount Vernon, Illinois. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Midwest Emergency Good Samaritan, Inc and her current practice location is 1 Good Samaritan Way, Mount Vernon, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 899-4600.

Amber Dawn Willis is licensed to practice in Illinois (license number 209.015277) 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 1326589680.

Contact Information

	Amber Dawn Willis, APN-BC
	1 Good Samaritan Way, Mount Vernon, IL 62864-2402
	(618) 899-4600
	Not Available

Map and Direction

Provider's Profile

Full Name	Amber Dawn Willis
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	1 Good Samaritan Way, Mount Vernon, Illinois
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:

Amber Dawn Willis graduated from nursing school in 2016

NPI Data:

NPI Number: 1326589680
Provider Enumeration Date: 03/19/2017
Last Update Date: 03/19/2017

Medicare PECOS Information:

PECOS PAC ID: 8426325523
Enrollment ID: I20170519002399

Medical Identifiers

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

Identifier	Type	State	Issuer
1326589680	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209.015277 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ssm Health - Good Samaritan Hospital	Mount vernon, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Midwest Emergency Good Samaritan, Inc	1658529342	22

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. Amber Dawn Willis allows following entities to bill medicare on her behalf.

Entity Name	Midwest Emergency Good Samaritan, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629367578 PECOS PAC ID: 1658529342 Enrollment ID: O20120921000645

Entity Name	Midwest Emergency Centralia Campus Associates, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396034245 PECOS PAC ID: 2163672650 Enrollment ID: O20121018000074

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. Amber Dawn 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
Amber Dawn Willis, APN-BC 13240 E Smith Rd, Mount Vernon, IL 62864-8857 Ph: (618) 315-9925	Amber Dawn Willis, APN-BC 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 Ph: (618) 899-4600

Reviews and Comments

Nurse Practitioner Nurses in Mount Vernon, IL

Amanda Engele, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5100 Lake Ter Ne Ste Wc, Mount Vernon, IL 62864 Phone: 618-899-5001
Leslie Wright, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4101 N Water Tower Pl, Mount Vernon, IL 62864 Phone: 618-244-6222
Fariahh Fazil, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 Good Samaritan Way Ste 235, Mount Vernon, IL 62864 Phone: 618-899-3980
Nancy K Kertz, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4117 S Water Tower Pl, Suite D, Mount Vernon, IL 62864 Phone: 618-242-4848 Fax: 618-242-4198
Natalie Amason, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4107 S Water Tower Pl, Mount Vernon, IL 62864 Phone: 618-244-0031 Fax: 618-244-0056
Melanie Cross, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4121 Veterans Memorial Dr, Mount Vernon, IL 62864 Phone: 618-242-3778 Fax: 618-242-2551
Abbey Gettinger, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4200 Williamson Pl Ste 1a, Mount Vernon, IL 62864 Phone: 618-899-9200 Fax: 618-899-9206

Amber Dawn Willis, APN-BC - Medicare Nurse Practitioner in Mount Vernon, IL