David John Willard, PA - Medicare Physician Assistant in Cumming, GA

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David John Willard, PA is a medicare enrolled "Physician Assistant" in Cumming, Georgia. He went to Mercer University School Of Medicine and graduated in 2015 and has 11 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Georgia Heart Institute Llc, Northside Cardiovascular Professional Services, Llc and his current practice location is 1200 Northside Forsyth Dr, Cumming, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 534-2020.

David John Willard is licensed to practice in Georgia (license number 7658) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1629457981.

Contact Information

David John Willard, PA
1200 Northside Forsyth Dr,
Cumming, GA 30041-7659
(770) 534-2020
Not Available

Map and Direction




Provider's Profile

Full NameDavid John Willard
GenderMale
SpecialityPhysician Assistant
Experience11 Years
Location1200 Northside Forsyth Dr, Cumming, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • David John Willard attended and graduated from Mercer University School Of Medicine in 2015
  NPI Data:
  • NPI Number: 1629457981
  • Provider Enumeration Date: 05/20/2015
  • Last Update Date: 11/18/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0648570093
  • Enrollment ID: I20151208000556

Medical Identifiers

Medical identifiers for David John Willard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629457981NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical (* (Not Available))Secondary
363A00000XPhysician Assistant 7658 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northside Hospital CherokeeCanton, GAHospital
Northeast Georgia Medical Center, IncGainesville, GAHospital
Northside Hospital ForsythCumming, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Georgia Heart Institute Llc4183848062127
Northside Cardiovascular Professional Services, Llc9739189838143

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. David John Willard allows following entities to bill medicare on his behalf.
Entity NameThe Emory Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396798229
PECOS PAC ID: 8820901408
Enrollment ID: O20031110000503
Entity NameEmory Specialty Associates, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407864168
PECOS PAC ID: 3476559782
Enrollment ID: O20061010000447
Entity NameNorthside Cardiovascular Professional Services, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518979921
PECOS PAC ID: 9739189838
Enrollment ID: O20070112000232
Entity NameGeorgia Heart Institute LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477976520
PECOS PAC ID: 4183848062
Enrollment ID: O20140616001425

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. David John 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 AddressPractice Location Address
David John Willard, PA
Po Box 742616,
Atlanta, GA 30374-2616

Ph: (770) 219-8420		David John Willard, PA
1200 Northside Forsyth Dr,
Cumming, GA 30041-7659

Ph: (770) 534-2020

Reviews and Comments


Physician Assistant Nurses in Cumming, GA

Ms. Mollie H Herzberger, PA
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Practice Location: 1400 Northside Forsyth Dr Ste 240, Cumming, GA 30041
Phone: 770-844-0877    Fax: 770-844-0891
Kristin Gregory, PA
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Practice Location: 1505 Northside Blvd, Suite 1500, Cumming, GA 30041
Phone: 770-781-5077    Fax: 770-781-3915
Mr. Stephen Hartle, PA-C
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Medicare: Medicare Enrolled
Practice Location: 2576 Peachtree Pkwy, Suite 100, Cumming, GA 30041
Phone: 770-888-8777    Fax: 770-888-8779
Rithika Archinapalli,
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Practice Location: 5195 Rialto Way, Cumming, GA 30040
Phone: 330-348-3456    
Jason David Grabrovac, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1100 Northside Forsyth Dr, Suite 340, Cumming, GA 30041
Phone: 770-886-8111    Fax: 770-205-8539
Mrs. Hiral N Patel, RPA-C
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Medicare: Accepting Medicare Assignments
Practice Location: 4150 Deputy Bill Cantrell Memorial Rd, Suite 260, Cumming, GA 30040
Phone: 770-292-3045    Fax: 770-292-3046
Jenny Dickson Laminack, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 327 Dahlonega St Ste 1501, Cumming, GA 30040
Phone: 770-844-1902    Fax: 770-205-3991

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.