Jefferson Clinton Willis, PMHNP-BC in Seaford, DE

Jefferson Clinton Willis, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Seaford, Delaware. His current practice location is 413 High St, Seaford, Delaware. You can reach out to his office (for appointments etc.) via phone at (302) 394-6051.

Jefferson Clinton Willis is licensed to practice in Delaware (license number L8-0010827) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1417743113.

Contact Information

	Jefferson Clinton Willis, PMHNP-BC
	413 High St, Seaford, DE 19973-3923
	(302) 394-6051
	Not Available

Map and Direction

Provider's Profile

Full Name	Jefferson Clinton Willis
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	413 High St, Seaford, Delaware
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417743113
Provider Enumeration Date: 04/17/2025
Last Update Date: 04/17/2025

Medicare PECOS Information:

PECOS PAC ID: 8628588191
Enrollment ID: I20250612001635

Medical Identifiers

Medical identifiers for Jefferson Clinton Willis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417743113	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	L8-0010827 (Delaware)	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. Jefferson Clinton Willis allows following entities to bill medicare on his behalf.

Entity Name	Compass Mental Wellness Services, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174137624 PECOS PAC ID: 9739522384 Enrollment ID: O20240209003683

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. Jefferson Clinton 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
Jefferson Clinton Willis, PMHNP-BC 28425 Cedar Ridge Dr, Millsboro, DE 19966-2709 Ph: () -	Jefferson Clinton Willis, PMHNP-BC 413 High St, Seaford, DE 19973-3923 Ph: (302) 394-6051

Reviews and Comments

Nurse Practitioner Nurses in Seaford, DE

Janice B. Hilley, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 701 Middleford Rd, Seaford, DE 19973 Phone: 302-629-2571
Jennifer Lee Passwaters, MSN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 Federal St, Seaford, DE 19973 Phone: 302-629-9099
Sherry P Gardiner, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 High St, Seaford, DE 19973 Phone: 302-855-1233
Ms. Kimberly Ann Young-conner, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 49 Fallon Ave., Nemours Pediatrics Seaford, Seaford, DE 19973 Phone: 302-629-5030 Fax: 302-629-5035
Ms. Susan S Spause, F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 105 N Front St Bldg 3, Seaford, DE 19973 Phone: 833-886-2277
Ashley Taylor, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 162 Venture Dr, Seaford, DE 19973 Phone: 302-414-8151 Fax: 302-899-1030
Kathy D James, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 801 Middleford Rd, Seaford, DE 19973 Phone: 302-629-6611

Jefferson Clinton Willis, PMHNP-BC - Medicare Nurse Practitioner in Seaford, DE