Sheri O Willis, AG-ACNP - Medicare Nurse Practitioner in Charlottesville, VA

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Sheri O Willis, AG-ACNP is a medicare enrolled "Nurse Practitioner - Acute Care" physician in Charlottesville, Virginia. Her current practice location is 1215 Lee St, Charlottesville, Virginia. You can reach out to her office (for appointments etc.) via phone at (434) 924-2283.

Sheri O Willis is licensed to practice in Virginia (license number 0024187467) 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 1700569233.

Contact Information

Sheri O Willis, AG-ACNP
1215 Lee St,
Charlottesville, VA 22908-0816
(434) 924-2283
(434) 982-0019



Physician's Profile

Full NameSheri O Willis
GenderFemale
SpecialityNurse Practitioner - Acute Care
Location1215 Lee St, Charlottesville, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1700569233
  • Provider Enumeration Date: 08/10/2023
  • Last Update Date: 09/18/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6204299027
  • Enrollment ID: I20230828001016

Medical Identifiers

Medical identifiers for Sheri O Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700569233NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207LC0200XAnesthesiology - Critical Care Medicine 0024187467 (Virginia)Secondary
363LA2100XNurse Practitioner - Acute Care 0024187467 (Virginia)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. Sheri O Willis allows following entities to bill medicare on her behalf.
Entity NameUniversity Of Virginia Physicians Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033138250
PECOS PAC ID: 4880590728
Enrollment ID: O20040102000780

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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. Sheri O 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
Sheri O Willis, AG-ACNP
Po Box 9007,
Charlottesville, VA 22906-9007

Ph: () -		Sheri O Willis, AG-ACNP
1215 Lee St,
Charlottesville, VA 22908-0816

Ph: (434) 924-2283

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