| Shawn Dale Willis, FNP-BC | |
|
67 Vickers Branch Rd, Chapmanville, WV 25508-9716 | |
| (304) 855-1959 | |
| Not Available |
| Full Name | Shawn Dale Willis |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 67 Vickers Branch Rd, Chapmanville, West Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265985550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | APRN66325-FNP-BC (West Virginia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN66325-FNP-BC (West Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medexpress Urgent Care Inc West Virginia | 1254487101 | 92 |
| Entity Name | Cherokee Emergency Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982643938 PECOS PAC ID: 2961396122 Enrollment ID: O20040210000492 |
| Entity Name | Health Care Alliance, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730128760 PECOS PAC ID: 5799689105 Enrollment ID: O20050816000292 |
| Entity Name | Medexpress Urgent Care Inc West Virginia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912133315 PECOS PAC ID: 1254487101 Enrollment ID: O20090918000219 |
| Mailing Address | Practice Location Address |
|---|---|
| Shawn Dale Willis, FNP-BC 67 Vickers Branch Rd, Chapmanville, WV 25508-9716 Ph: (304) 855-1959 | Shawn Dale Willis, FNP-BC 67 Vickers Branch Rd, Chapmanville, WV 25508-9716 Ph: (304) 855-1959 |
Dakota James Conley, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 386 Airport Rd, Chapmanville, WV 25508 Phone: 304-855-1200 Fax: 304-855-1230 | |
Shenna Marie Scott, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 386 Airport Rd, Chapmanville, WV 25508 Phone: 304-855-1200 Fax: 304-855-1230 | |
Mrs. Dena Kay Barker, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 384 Airport Road, Chapmanville, WV 25508 Phone: 304-855-1200 Fax: 304-855-1230 | |
Samantha L Mullins, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 602 Pitt Branch Rd, Chapmanville, WV 25508 Phone: 304-928-1848 | |
Amanda E Hinkle, APRN - FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 386 Airport Rd, Chapmanville, WV 25508 Phone: 304-855-1200 Fax: 304-855-1230 | |
Genieve Smith, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 386 Airport Rd, Chapmanville, WV 25508 Phone: 304-855-1200 Fax: 304-855-1230 |