Willis Fisher, CRNA in Marinette, WI - Medicare Nurse Anesthetist, Certified Registered

Willis Fisher, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Marinette, Wisconsin. His current practice location is 617 S Raymond St, Marinette, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (715) 732-8855.

Willis Fisher is licensed to practice in Wisconsin (license number 022491) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1316048564.

Contact Information

	Willis Fisher, CRNA
	617 S Raymond St, Marinette, WI 54143-1643
	(715) 732-8855
	Not Available

Map and Direction

Provider's Profile

Full Name	Willis Fisher
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	617 S Raymond St, Marinette, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316048564
Provider Enumeration Date: 09/26/2006
Last Update Date: 02/02/2023

Medicare PECOS Information:

PECOS PAC ID: 5193821494
Enrollment ID: I20080529000391

Medical Identifiers

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

Identifier	Type	State	Issuer
1316048564	NPI	-	NPPES
103339631	Medicaid	MI
430036342	Other		MEDICARE RAILROAD
43335500	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	022491 (Wisconsin)	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. Willis Fisher allows following entities to bill medicare on his behalf.

Entity Name	Green Bay Anesthesia Assoc. Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023065836 PECOS PAC ID: 4486613858 Enrollment ID: O20041011000244

Entity Name	Bellin Anesthesia Associates Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558318410 PECOS PAC ID: 1254357684 Enrollment ID: O20051014000796

Entity Name	Oconto Hospital & Medical Center Inc
Entity Type	Part B Supplier - Ambulatory Surgical Center
Entity Identifiers	NPI Number: 1881129351 PECOS PAC ID: 2163461781 Enrollment ID: O20170621001516

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. Willis Fisher 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
Willis Fisher, CRNA 617 S Raymond St, Marinette, WI 54143-1643 Ph: (715) 732-8855	Willis Fisher, CRNA 617 S Raymond St, Marinette, WI 54143-1643 Ph: (715) 732-8855

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Marinette, WI

Brian Ceranski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3003 University Dr, Marinette, WI 54143 Phone: 715-735-4200
Michael Swanson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3003 University Dr, Marinette, WI 54143 Phone: 715-735-4200
Frank Ziemke, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3003 University Dr, Marinette, WI 54143 Phone: 715-735-4200 Fax: 715-735-8019
Mr. Robert M Kelly, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4061 Old Peshtigo Rd, Marinette, WI 54143 Phone: 715-732-8000 Fax: 715-732-8148
Mr. Robert James Cooper, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4061 Old Peshtigo Rd, Marinette, WI 54143 Phone: 715-732-8000 Fax: 715-732-8148
Nathan Jay Herrild, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3003 University Dr, Marinette, WI 54143 Phone: 715-735-4200

Willis Fisher, CRNA - Medicare Nurse Anesthetist, Certified Registered in Marinette, WI