| Brian Wesley Willis, AGPCNP-BC | |
|
555 E Tachevah Dr Ste 2w101, Palm Springs, CA 92262-5748 | |
| (760) 320-6005 | |
| (760) 323-5786 |
| Full Name | Brian Wesley Willis |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 555 E Tachevah Dr Ste 2w101, Palm Springs, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841007127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | 95032580 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Palm Springs Urology Medical Group Pc | 5597289330 | 2 |
| Entity Name | Palm Springs Urology Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578386579 PECOS PAC ID: 5597289330 Enrollment ID: O20250414001813 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Wesley Willis, AGPCNP-BC 5920 Brassie Pl, Palm Springs, CA 92264-6339 Ph: (323) 747-0470 | Brian Wesley Willis, AGPCNP-BC 555 E Tachevah Dr Ste 2w101, Palm Springs, CA 92262-5748 Ph: (760) 320-6005 |
Lynn Rochele Lopez Santos, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1180 N Indian Canyon Dr Ste W304, Palm Springs, CA 92262 Phone: 760-322-9562 | |
Renita Rochelle Romero, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 E Tahquitz Canyon Way Ste 3, Palm Springs, CA 92262 Phone: 760-325-4800 | |
Jonas Carullo Sablan, PT Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1069 Azure Ct, Palm Springs, CA 92262 Phone: 573-694-6658 | |
Alicia Berenice Rios, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1180 N Indian Canyon Dr Ste E420, Palm Springs, CA 92262 Phone: 760-778-7147 | |
Mr. Matthew Gabriel Moran, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 555 E Tachevah Dr Ste 1e201, Palm Springs, CA 92262 Phone: 760-299-6487 | |
Madeline Elizabeth Ramirez, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1555 S Palm Canyon Dr, Palm Springs, CA 92264 Phone: 760-969-7770 Fax: 760-969-7771 | |
Mia Ragsdale-avila, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2500 N Palm Canyon Dr Ste A4, Palm Springs, CA 92262 Phone: 760-424-5602 |