| Dr Laura M Willis, DNP, APRN-CNP | |
|
114b S Springfield St, Saint Paris, OH 43072-7704 | |
| (937) 523-9816 | |
| (937) 523-9817 |
| Full Name | Dr Laura M Willis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 114b S Springfield St, Saint Paris, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467863555 | NPI | - | NPPES |
| 0104805 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.15786 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Springfield Regional Medical Center | Springfield, OH | Hospital |
| Mercy Health - West Hospital | Cincinnati, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Health Physicians Springfield Primary Care Llc | 7315361359 | 32 |
| Entity Name | Mercy Health Physicians Springfield Primary Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427679067 PECOS PAC ID: 7315361359 Enrollment ID: O20200722003840 |
| Entity Name | Mercy Health Physicians Springfield Specialty Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790308104 PECOS PAC ID: 4284059981 Enrollment ID: O20200728003692 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Laura M Willis, DNP, APRN-CNP 200 Medical Center Dr Ste 200, Springfield, OH 45504-2688 Ph: (937) 523-9050 | Dr Laura M Willis, DNP, APRN-CNP 114b S Springfield St, Saint Paris, OH 43072-7704 Ph: (937) 523-9816 |
Mr. Matthew Ross, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 311 W Main St, Saint Paris, OH 43072 Phone: 937-404-9755 Fax: 937-404-9756 | |
Susan M. Hazlett, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4400 Elm Tree Rd S, Saint Paris, OH 43072 Phone: 937-605-5615 |