Zachary Randall Willis, - Medicare Physician Assistant in Potsdam, NY

Zachary Randall Willis, is a medicare enrolled "Physician Assistant" in Potsdam, New York. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Canton-potsdam Hospital and his current practice location is 50 Leroy St, Potsdam, New York. You can reach out to his office (for appointments etc.) via phone at (315) 265-3300.

Zachary Randall Willis is licensed to practice in New York (license number 025386) 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 1265041073.

Contact Information

Zachary Randall Willis,
50 Leroy St,
Potsdam, NY 13676-1799
(315) 265-3300
Not Available

Map and Direction




Provider's Profile

Full NameZachary Randall Willis
GenderMale
SpecialityPhysician Assistant
Experience4 Years
Location50 Leroy St, Potsdam, New York
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:
  • Zachary Randall Willis graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1265041073
  • Provider Enumeration Date: 07/28/2020
  • Last Update Date: 07/28/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8426476466
  • Enrollment ID: I20200908002727

Medical Identifiers

Medical identifiers for Zachary Randall Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265041073NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 025386 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Canton-potsdam HospitalPotsdam, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Canton-potsdam Hospital6204827280195

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. Zachary Randall 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 AddressPractice Location Address
Zachary Randall Willis,
568 Cr 35,
Potsdam, NY 13676-3143

Ph: (443) 417-6341
Zachary Randall Willis,
50 Leroy St,
Potsdam, NY 13676-1799

Ph: (315) 265-3300

Reviews and Comments


Physician Assistant Nurses in Potsdam, NY

Heather Mackinnon,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 50 Leroy St, Potsdam, NY 13676
Phone: 315-265-3300    
Bernadette Avila,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 49 Lawrence Ave, Potsdam, NY 13676
Phone: 315-261-5550    
An Tulloch, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 12 Elm St, Potsdam, NY 13676
Phone: 315-261-5420    
Christina Kashmer, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 50 Leroy St, Potsdam, NY 13676
Phone: 315-265-3300    
Luke Alexander Gillis, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 50 Leroy St, Potsdam, NY 13676
Phone: 315-265-3300    
Matthew Cheevers, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 50 Leroy St, Potsdam, NY 13676
Phone: 315-265-3300    
Dawn M. White, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 49 Lawrence Ave, Potsdam, NY 13676
Phone: 315-261-5550    Fax: 315-261-5599

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.