Mr Donovan Scott Willis, CRNA in Joplin, MO - Medicare Certified Registered Nurse Anesthetist (crna)

Mr Donovan Scott Willis, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Joplin, Missouri. He graduated from nursing school in 2004 and has 21 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Northeastern Health System, Anesthesia Associates Of Joplin Llc and his current practice location is 100 Mercy Way, Joplin, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 781-2727.

Mr Donovan Scott Willis is licensed to practice in Missouri (license number 2015043775) 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 1558460295.

Contact Information

	Mr Donovan Scott Willis, CRNA
	100 Mercy Way, Joplin, MO 64804-4524
	(417) 781-2727
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Donovan Scott Willis
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	21 Years
Location	100 Mercy Way, Joplin, Missouri
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Donovan Scott Willis graduated from nursing school in 2004

NPI Data:

NPI Number: 1558460295
Provider Enumeration Date: 09/21/2006
Last Update Date: 01/22/2025

Medicare PECOS Information:

PECOS PAC ID: 0941259998
Enrollment ID: I20091023000549

Medical Identifiers

Medical identifiers for Mr Donovan Scott Willis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558460295	NPI	-	NPPES
200053830A	Medicaid	OK
156956001	Medicaid	AR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	2015043775 (Missouri)	Primary
367500000X	Nurse Anesthetist, Certified Registered	C01497 (Arkansas)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northeastern Health System	Tahlequah, OK	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northeastern Health System	1456255025	98
Anesthesia Associates Of Joplin Llc	6305156290	7

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. Mr Donovan Scott Willis allows following entities to bill medicare on his behalf.

Entity Name	Northeastern Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457574170 PECOS PAC ID: 1456255025 Enrollment ID: O20031125000250

Entity Name	Freelance Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700040680 PECOS PAC ID: 7719044957 Enrollment ID: O20090316000305

Entity Name	Anesthesia Associates Of Grand Lake
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841525193 PECOS PAC ID: 5597803353 Enrollment ID: O20091116000357

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. Mr Donovan Scott 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
Mr Donovan Scott Willis, CRNA Po Box 11405, Fort Smith, AR 72917-1405 Ph: (479) 785-2555	Mr Donovan Scott Willis, CRNA 100 Mercy Way, Joplin, MO 64804-4524 Ph: (417) 781-2727

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Joplin, MO

Mr. Austin Boone Mcclure, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-1078 Fax: 417-347-1079
Mrs. Allison Marie Lutz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-1111
Jonathan Eric Drowns, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-1111
Terry W Miller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-1078 Fax: 417-347-1079
Julie A Burd, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-1078 Fax: 417-347-1079
Ashley Nickole Khachi, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Mercy Way, Joplin, MO 64804 Phone: 417-781-2727
Bryan Taylor, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-5222

Mr Donovan Scott Willis, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Joplin, MO