Willett Blake Coffman, - Medicare Nurse Practitioner in Jackson, TN

  1. Home
  2. Nurse Practitioner
  3. TN
  4. Jackson
Willett Blake Coffman, is a medicare enrolled "Nurse Practitioner" in Jackson, Tennessee. He graduated from nursing school in 2023 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Lexington Clinic Corp, Lexington Hospital Corporation and his current practice location is 64 Palmer Dr, Jackson, Tennessee. You can reach out to his office (for appointments etc.) via phone at (731) 614-0728.

Willett Blake Coffman is licensed to practice in Tennessee (license number 35606) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1578262192.

Contact Information

Willett Blake Coffman,
64 Palmer Dr,
Jackson, TN 38305-8029
(731) 614-0728
Not Available

Map and Direction




Provider's Profile

Full NameWillett Blake Coffman
GenderMale
SpecialityNurse Practitioner
Experience3 Years
Location64 Palmer Dr, Jackson, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Willett Blake Coffman graduated from nursing school in 2023
  NPI Data:
  • NPI Number: 1578262192
  • Provider Enumeration Date: 03/02/2023
  • Last Update Date: 06/10/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 0749795011
  • Enrollment ID: I20250715003423

Medical Identifiers

Medical identifiers for Willett Blake Coffman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578262192NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 35606 (Tennessee)Primary
207P00000XEmergency Medicine 0024195588 (Virginia)Secondary
207P00000XEmergency Medicine 35606 (Tennessee)Secondary
207Q00000XFamily Medicine 0024195588 (Virginia)Secondary
207Q00000XFamily Medicine 35606 (Tennessee)Secondary
207R00000XInternal Medicine 0024195588 (Virginia)Secondary
207R00000XInternal Medicine 35606 (Tennessee)Secondary
208000000XPediatrics 0024195588 (Virginia)Secondary
208000000XPediatrics 35606 (Tennessee)Secondary
208100000XPhysical Medicine & Rehabilitation 0024195588 (Virginia)Secondary
208100000XPhysical Medicine & Rehabilitation 35606 (Tennessee)Secondary
2085R0202XRadiology - Diagnostic Radiology 35606 (Tennessee)Secondary
2085R0202XRadiology - Diagnostic Radiology 0024195588 (Virginia)Secondary
208600000XSurgery 35606 (Tennessee)Secondary
208600000XSurgery 0024195588 (Virginia)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Stuart Community Hospital IncStuart, VAHospital
Houston County Community HospitalErin, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lexington Clinic Corp246646855823
Lexington Hospital Corporation771989641428

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. Willett Blake Coffman allows following entities to bill medicare on his behalf.
Entity NameLexington Clinic Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780652107
PECOS PAC ID: 2466468558
Enrollment ID: O20060227000599
Entity NameLexington Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083809669
PECOS PAC ID: 7719896414
Enrollment ID: O20090324000611
Entity NameLexington Family Physicians LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265660708
PECOS PAC ID: 8628120342
Enrollment ID: O20090710000103
Entity NameShamrock Community Hospital Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1811566540
PECOS PAC ID: 8325422082
Enrollment ID: O20220927001035
Entity NamePerry County Community Hospital Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1528890480
PECOS PAC ID: 1850885351
Enrollment ID: O20251211002503

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. Willett Blake Coffman 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
Willett Blake Coffman,
64 Palmer Dr,
Jackson, TN 38305-8029

Ph: (731) 614-0728		Willett Blake Coffman,
64 Palmer Dr,
Jackson, TN 38305-8029

Ph: (731) 614-0728

Reviews and Comments


Nurse Practitioner Nurses in Jackson, TN

Katherine E Wyatt, A.P.R.N.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 145 Innovation Dr, Jackson, TN 38305
Phone: 731-422-0213    Fax: 731-660-8301
Amy K Lawrence, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2863 Highway 45 Byp, Jackson, TN 38305
Phone: 731-422-0213    Fax: 731-660-8380
Lauren Williams,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1047 Union University Dr, Jackson, TN 38305
Phone: 731-256-0035    
Anna K Younger, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 145 Innovation Dr, Jackson, TN 38305
Phone: 731-422-0213    Fax: 731-660-8301
Kirsten Siler,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 27a Medical Center Drive, Jackson, TN 38301
Phone: 731-541-3310    
Kimberlie A Simpson, APRN, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 23 Independence Ln, Jackson, TN 38305
Phone: 731-617-1483    
Jana Touton, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 409 Walker Rd Ste B, Jackson, TN 38305
Phone: 931-306-2647    Fax: 903-459-6349

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.