Shanna Lynn Willis, CNM - Medicare Advanced Practice Midwife in Spring, TX

Shanna Lynn Willis, CNM is a medicare enrolled "Advanced Practice Midwife" in Spring, Texas. Her current practice location is 419 Gentry St, Spring, Texas. You can reach out to her office (for appointments etc.) via phone at (281) 296-0343.

Shanna Lynn Willis is licensed to practice in Texas (license number 1033263) 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 1780261834.

Contact Information

Shanna Lynn Willis, CNM
419 Gentry St,
Spring, TX 77373-8359
(281) 296-0343
(281) 503-7765



Provider's Profile

Full NameShanna Lynn Willis
GenderFemale
SpecialityAdvanced Practice Midwife
Location419 Gentry St, Spring, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1780261834
  • Provider Enumeration Date: 03/25/2021
  • Last Update Date: 03/25/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8527435494
  • Enrollment ID: I20221105000035

Medical Identifiers

Medical identifiers for Shanna Lynn Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780261834NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife 1033263 (Texas)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. Shanna Lynn Willis allows following entities to bill medicare on her behalf.
Entity NameOanh Ngoc Bui Do Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033393400
PECOS PAC ID: 2567484959
Enrollment ID: O20051229000106

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Entity NameFairfield Ob-gyn Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871987966
PECOS PAC ID: 3274845391
Enrollment ID: O20150702000872

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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. Shanna Lynn 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
Shanna Lynn Willis, CNM
24455 Pipestem Dr,
Magnolia, TX 77355-6941

Ph: (832) 768-1430
Shanna Lynn Willis, CNM
419 Gentry St,
Spring, TX 77373-8359

Ph: (281) 296-0343

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› Verified 1 days ago


Advanced Practice Midwife Nurses in Spring, TX

Chantel Latresa Ashley, CNM
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 8714 Spring Cypress Rd, Suite 200, Spring, TX 77379
Phone: 281-251-6394    
Ramona Selena Colas, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 6617 Fm 2920 Rd Ste 200, Spring, TX 77379
Phone: 281-206-4496    Fax: 281-206-4487
Diana D Matlack, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 2495 Sawdust Rd Apt 1101, Spring, TX 77380
Phone: 315-216-6625    
Jaelin Stickels,
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 26614 Oak Ridge Dr, Spring, TX 77380
Phone: 281-296-2333    

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