Mrs Payton Willis, NP in Harrison, AR - Medicare Nurse Practitioner

Mrs Payton Willis, NP is a medicare enrolled "Nurse Practitioner" in Harrison, Arkansas. Her current practice location is 808 Us-65, Harrison, Arkansas. You can reach out to her office (for appointments etc.) via phone at (870) 204-7263.

Mrs Payton Willis is licensed to practice in Arkansas (license number 217530) 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 1043028939.

Contact Information

	Mrs Payton Willis, NP
	808 Us-65, Harrison, AR 72601
	(870) 204-7263
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Payton Willis
Gender	Female
Speciality	Nurse Practitioner
Location	808 Us-65, Harrison, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043028939
Provider Enumeration Date: 12/23/2024
Last Update Date: 03/28/2025

Medicare PECOS Information:

PECOS PAC ID: 0749700904
Enrollment ID: I20250219001128

Medical Identifiers

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

Identifier	Type	State	Issuer
1043028939	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	217530 (Arkansas)	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. Mrs Payton Willis allows following entities to bill medicare on her behalf.

Entity Name	Urgent Team Of Arkansas Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992041370 PECOS PAC ID: 1850539198 Enrollment ID: O20130529000209

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. Mrs Payton 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
Mrs Payton Willis, NP 9877 Old Olvey Rd, Harrison, AR 72601-9391 Ph: (870) 416-5797	Mrs Payton Willis, NP 808 Us-65, Harrison, AR 72601 Ph: (870) 204-7263

Reviews and Comments

Nurse Practitioner Nurses in Harrison, AR

Rollie S Walker, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1002 N Spring Street, Harrison, AR 72601 Phone: 870-741-6373 Fax: 870-741-5102
Skipper Dawn Mccormick, APRN-FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 624 W Central Ave, Harrison, AR 72601 Phone: 870-754-0144
Amanda Cope, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 724 N Spring St Ste C, Harrison, AR 72601 Phone: 870-743-2448 Fax: 870-741-2449
Andria Moran Merritt, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 520 N Spring St, Harrison, AR 72601 Phone: 870-741-8286
Kellie Manes, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4318 Us Hwy 62-65, Harrison, AR 72601 Phone: 870-414-4040 Fax: 870-741-7618
Donielle Kay Swanson, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1401 Hwy 65 North, Suite 110, Harrison, AR 72601 Phone: 704-144-0228 Fax: 870-414-4023

Mrs Payton Willis, NP - Medicare Nurse Practitioner in Harrison, AR