Mr John Evan Willis, CRNP - Medicare Nurse Practitioner in Huntsville, AL

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Mr John Evan Willis, CRNP is a medicare enrolled "Nurse Practitioner" in Huntsville, Alabama. His current practice location is 4810 Whitesport Cir Sw, Suite 110, Huntsville, Alabama. You can reach out to his office (for appointments etc.) via phone at (256) 539-2531.

Mr John Evan Willis is licensed to practice in Alabama (license number 1-114309) 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 1275831703.

Contact Information

Mr John Evan Willis, CRNP
4810 Whitesport Cir Sw, Suite 110,
Huntsville, AL 35801-7419
(256) 539-2531
(256) 533-0490

Map and Direction




Provider's Profile

Full NameMr John Evan Willis
GenderMale
SpecialityNurse Practitioner
Location4810 Whitesport Cir Sw, Huntsville, Alabama
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1275831703
  • Provider Enumeration Date: 03/08/2011
  • Last Update Date: 03/08/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 2961686654
  • Enrollment ID: I20110404000709

Medical Identifiers

Medical identifiers for Mr John Evan Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275831703NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 1-114309 (Alabama)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. Mr John Evan Willis allows following entities to bill medicare on his behalf.
Entity NameSleep & Pulmonary Care Center, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346406469
PECOS PAC ID: 5799850731
Enrollment ID: O20080826000497
Entity NameCrestwood Physician Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154622520
PECOS PAC ID: 3476735648
Enrollment ID: O20110309000303
Entity NameMidway Medical Clinic, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386984649
PECOS PAC ID: 4688819592
Enrollment ID: O20130326000041
Entity NameHorizon Medical Clinic, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588904791
PECOS PAC ID: 6406092972
Enrollment ID: O20130429000634
Entity NamePremier Medical Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083955173
PECOS PAC ID: 7012155609
Enrollment ID: O20130520000728
Entity NameSouthview Medical Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033554357
PECOS PAC ID: 7315188281
Enrollment ID: O20130719000228
Entity NameBsnr Llc. Hartselle Valley Family Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336800028
PECOS PAC ID: 9234525056
Enrollment ID: O20220405000013

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 John Evan 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 AddressPractice Location Address
Mr John Evan Willis, CRNP
4810 Whitesport Circle, Alabama Sleep Clinic Suite 110,
Huntsville, AL 35801

Ph: (256) 539-2531		Mr John Evan Willis, CRNP
4810 Whitesport Cir Sw, Suite 110,
Huntsville, AL 35801-7419

Ph: (256) 539-2531

Reviews and Comments


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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.