Jessica Willis, in Osage Beach, MO - Medicare Nurse Practitioner

Jessica Willis, is a medicare enrolled "Nurse Practitioner - Family" in Osage Beach, Missouri. Her current practice location is 54 Hospital Dr, Osage Beach, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 302-4406.

Jessica Willis is licensed to practice in Missouri (license number 2021045842) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1326704297.

Contact Information

	Jessica Willis,
	54 Hospital Dr, Osage Beach, MO 65065-3050
	(573) 302-4406
	(573) 302-4408

Map and Direction

Provider's Profile

Full Name	Jessica Willis
Gender	Female
Speciality	Nurse Practitioner - Family
Location	54 Hospital Dr, Osage Beach, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326704297
Provider Enumeration Date: 11/15/2021
Last Update Date: 11/15/2021

Medicare PECOS Information:

PECOS PAC ID: 0941691133
Enrollment ID: I20211223000296

Medical Identifiers

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

Identifier	Type	State	Issuer
1326704297	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	2021045842 (Missouri)	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. Jessica Willis allows following entities to bill medicare on her behalf.

Entity Name	Lake Regional Medical Management Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639134158 PECOS PAC ID: 3577467323 Enrollment ID: O20031122000076

Entity Name	Lake Regional Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053581454 PECOS PAC ID: 9133026776 Enrollment ID: O20070511000147

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. Jessica 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
Jessica Willis, 54 Hospital Dr, Osage Beach, MO 65065-3050 Ph: (573) 302-4406	Jessica Willis, 54 Hospital Dr, Osage Beach, MO 65065-3050 Ph: (573) 302-4406

Reviews and Comments

Nurse Practitioner Nurses in Osage Beach, MO

Kristina Kay Burton, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1029 Nichols Rd Ste 201, Osage Beach, MO 65065 Phone: 573-302-7138 Fax: 573-302-4686
Hailey Dunn, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1075 Nichols Rd, Osage Beach, MO 65065 Phone: 573-302-3999 Fax: 573-302-2751
Maury Rose Hefele, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 38 Buoyant Pl, Osage Beach, MO 65065 Phone: 573-673-4584
Jeannie M. Carlton, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 54 Hospital Dr, Suite 102, Osage Beach, MO 65065 Phone: 573-348-8045 Fax: 573-348-8046
Brandi Nicole Kincaid, MSN, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 54 Hospital Dr, Osage Beach, MO 65065 Phone: 573-302-2772 Fax: 573-302-2264
Hallie Jean Willis, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 54 Hospital Dr, Osage Beach, MO 65065 Phone: 573-302-2715 Fax: 573-302-2713
Mrs. Megan A Ray, WHNP-APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 54 Hospital Dr, Suite 201, Osage Beach, MO 65065 Phone: 573-302-2764 Fax: 573-302-2767

Jessica Willis, - Medicare Nurse Practitioner in Osage Beach, MO