Samantha Willis, FNP-C in Greenwell Springs, LA

Samantha Willis, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Greenwell Springs, Louisiana. Her current practice location is 18448 Magnolia Bridge Rd Ste A&b, Greenwell Springs, Louisiana. You can reach out to her office (for appointments etc.) via phone at (225) 256-0063.

Samantha Willis is licensed to practice in Louisiana (license number 200411) 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 1568175941.

Contact Information

	Samantha Willis, FNP-C
	18448 Magnolia Bridge Rd Ste A&b, Greenwell Springs, LA 70739-4626
	(225) 256-0063
	Not Available

Map and Direction

Provider's Profile

Full Name	Samantha Willis
Gender	Female
Speciality	Nurse Practitioner - Family
Location	18448 Magnolia Bridge Rd Ste A&b, Greenwell Springs, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568175941
Provider Enumeration Date: 01/02/2023
Last Update Date: 01/02/2023

Medicare PECOS Information:

PECOS PAC ID: 1658730353
Enrollment ID: I20230628003170

Medical Identifiers

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

Identifier	Type	State	Issuer
1568175941	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	200411 (Louisiana)	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. Samantha Willis allows following entities to bill medicare on her behalf.

Entity Name	Boston Primary Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891454328 PECOS PAC ID: 6901299809 Enrollment ID: O20220216001636

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. Samantha 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
Samantha Willis, FNP-C 12931 Carrington Place Ave, Baton Rouge, LA 70817-1205 Ph: (913) 515-0300	Samantha Willis, FNP-C 18448 Magnolia Bridge Rd Ste A&b, Greenwell Springs, LA 70739-4626 Ph: (225) 256-0063

Reviews and Comments

Nurse Practitioner Nurses in Greenwell Springs, LA

Megan Guidry Hinson, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18901 Greenwell Springs Rd, Greenwell Springs, LA 70739 Phone: 225-924-9985 Fax: 225-924-0884
Lauren Sagona, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18448 Magnolia Bridge Rd Ste A, Greenwell Springs, LA 70739 Phone: 225-256-0063
Tammy Smith, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20372 Greenwell Springs Rd, Greenwell Springs, LA 70739 Phone: 225-819-8857 Fax: 225-767-6822
Andrea Lewis Torregrosa, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6685 Sullivan Rd, Greenwell Springs, LA 70739 Phone: 800-256-3947 Fax: 800-609-1694
Todd Joseph Bossier, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6304 E Castledale Dr, Greenwell Springs, LA 70739 Phone: 225-262-5539
Mrs. Katrece J Barber, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6685 Sullivan Rd, Greenwell Springs, LA 70739 Phone: 800-256-3947 Fax: 800-609-1694

Samantha Willis, FNP-C - Medicare Nurse Practitioner in Greenwell Springs, LA