Carli Willard, APRN in Enfield, CT - Medicare Nurse Practitioner

Carli Willard, APRN is a medicare enrolled "Nurse Practitioner - Family" in Enfield, Connecticut. She graduated from nursing school in 2013 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Connecticut Gi Pc and her current practice location is 15 Palomba Dr, Enfield, Connecticut. You can reach out to her office (for appointments etc.) via phone at (890) 745-1623.

Carli Willard is licensed to practice in Connecticut (license number 5433) 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 1972935211.

Contact Information

	Carli Willard, APRN
	15 Palomba Dr, Enfield, CT 06082-3888
	(890) 745-1623
	(860) 741-3618

Map and Direction

Provider's Profile

Full Name	Carli Willard
Gender	Female
Speciality	Nurse Practitioner
Experience	12 Years
Location	15 Palomba Dr, Enfield, Connecticut
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:

Carli Willard graduated from nursing school in 2013

NPI Data:

NPI Number: 1972935211
Provider Enumeration Date: 08/08/2013
Last Update Date: 06/30/2014

Medicare PECOS Information:

PECOS PAC ID: 1456587468
Enrollment ID: I20131122000031

Medical Identifiers

Medical identifiers for Carli Willard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972935211	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	5433 (Connecticut)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Hartford Hospital	Hartford, CT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Connecticut Gi Pc	9830110758	207

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. Carli Willard allows following entities to bill medicare on her behalf.

Entity Name	Connecticut Gi Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023124625 PECOS PAC ID: 9830110758 Enrollment ID: O20070112000011

Entity Name	Fignar Family Practice, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447433677 PECOS PAC ID: 2769560184 Enrollment ID: O20080424000501

Entity Name	Hartford Healthcare Medical Group Specialists Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023584216 PECOS PAC ID: 3173866241 Enrollment ID: O20190514001441

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. Carli Willard 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
Carli Willard, APRN 15 Palomba Dr, Enfield, CT 06082-3888 Ph: (890) 745-1623	Carli Willard, APRN 15 Palomba Dr, Enfield, CT 06082-3888 Ph: (890) 745-1623

Reviews and Comments

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Carli Willard, APRN - Medicare Nurse Practitioner in Enfield, CT