Mrs Misty Faulk Willis, NURSE PRACTITIONER - Medicare Nurse Practitioner in Americus, GA

Mrs Misty Faulk Willis, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Americus, Georgia. Her current practice location is 609 E Lamar St, Americus, Georgia. You can reach out to her office (for appointments etc.) via phone at (229) 924-8636.

Mrs Misty Faulk Willis is licensed to practice in Georgia (license number RN177038) 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 1053645697.

Contact Information

Mrs Misty Faulk Willis, NURSE PRACTITIONER
609 E Lamar St,
Americus, GA 31709-3737
(229) 924-8636
(229) 924-8786



Provider's Profile

Full NameMrs Misty Faulk Willis
GenderFemale
SpecialityNurse Practitioner - Family
Location609 E Lamar St, Americus, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053645697
  • Provider Enumeration Date: 09/30/2009
  • Last Update Date: 08/02/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2567504236
  • Enrollment ID: I20100119000050

Medical Identifiers

Medical identifiers for Mrs Misty Faulk Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053645697NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN177038 (Georgia)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. Mrs Misty Faulk Willis allows following entities to bill medicare on her behalf.
Entity NameCareconnect Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063436624
PECOS PAC ID: 7810980794
Enrollment ID: O20040406001286

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› Verified 3 days ago

Entity NamePhoebe Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487899464
PECOS PAC ID: 8426112350
Enrollment ID: O20090121000583

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› Verified 3 days ago

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. Mrs Misty Faulk 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
Mrs Misty Faulk Willis, NURSE PRACTITIONER
609 E Lamar St,
Americus, GA 31709-3737

Ph: (229) 924-8636
Mrs Misty Faulk Willis, NURSE PRACTITIONER
609 E Lamar St,
Americus, GA 31709-3737

Ph: (229) 924-8636

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A study led by Mayo Clinic demonstrates that mild cognitive impairment, a memory disorder considered a strong early predictor of Alzheimer's disease, not only results in behavioral symptoms, but also structural changes that can be identified in the brain. Findings will be published in the May issue of Archives of Neurology.

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› Verified 3 days ago


Nurse Practitioner Nurses in Americus, GA

Cassandra Jones, AGNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 307 Sharon Dr, Americus, GA 31709
Phone: 229-942-5507    
Mr. Leo Pouliot, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 618 E Lamar St, Americus, GA 31709
Phone: 229-928-8355    Fax: 229-928-8358
Cheryl Tharp,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 169 Pine Level Rd, Americus, GA 31719
Phone: 229-938-3714    
Allen Blaine Howell, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 100 Plantation Ridge Drive, Americus, GA 31709
Phone: 229-928-3920    Fax: 229-928-3921
Trent Joseph Peachey,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 103 Ga Highway 27 E, Americus, GA 31709
Phone: 229-924-8082    
Kirven Pie Hulsey, CNM, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 100 Wheatley Dr, Suite 301, Americus, GA 31709
Phone: 229-928-2900    Fax: 229-928-2682

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