Shawn Dale Willis, FNP-BC - Medicare Nurse Practitioner in Chapmanville, WV

Shawn Dale Willis, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Chapmanville, West Virginia. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Medexpress Urgent Care Inc West Virginia and his current practice location is 67 Vickers Branch Rd, Chapmanville, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 855-1959.

Shawn Dale Willis is licensed to practice in West Virginia (license number APRN66325-FNP-BC) 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 1265985550.

Contact Information

Shawn Dale Willis, FNP-BC
67 Vickers Branch Rd,
Chapmanville, WV 25508-9716
(304) 855-1959
Not Available



Provider's Profile

Full NameShawn Dale Willis
GenderMale
SpecialityNurse Practitioner
Experience8 Years
Location67 Vickers Branch Rd, Chapmanville, West Virginia
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:
  • Shawn Dale Willis graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1265985550
  • Provider Enumeration Date: 08/03/2016
  • Last Update Date: 11/16/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 8527356922
  • Enrollment ID: I20161018002588

Medical Identifiers

Medical identifiers for Shawn Dale Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265985550NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner APRN66325-FNP-BC (West Virginia)Secondary
363LF0000XNurse Practitioner - Family APRN66325-FNP-BC (West Virginia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Medexpress Urgent Care Inc West Virginia1254487101115

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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. Shawn Dale Willis allows following entities to bill medicare on his behalf.
Entity NameCherokee Emergency Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982643938
PECOS PAC ID: 2961396122
Enrollment ID: O20040210000492

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Entity NameHealth Care Alliance, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730128760
PECOS PAC ID: 5799689105
Enrollment ID: O20050816000292

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Entity NameMedexpress Urgent Care Inc West Virginia
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912133315
PECOS PAC ID: 1254487101
Enrollment ID: O20090918000219

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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. Shawn Dale 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
Shawn Dale Willis, FNP-BC
67 Vickers Branch Rd,
Chapmanville, WV 25508-9716

Ph: (304) 855-1959
Shawn Dale Willis, FNP-BC
67 Vickers Branch Rd,
Chapmanville, WV 25508-9716

Ph: (304) 855-1959

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Nurse Practitioner Nurses in Chapmanville, WV

Shenna Marie Scott, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 386 Airport Rd, Chapmanville, WV 25508
Phone: 304-855-1200    Fax: 304-855-1230
Mrs. Dena Kay Barker, APRN, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 384 Airport Road, Chapmanville, WV 25508
Phone: 304-855-1200    Fax: 304-855-1230
Samantha L Mullins, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 602 Pitt Branch Rd, Chapmanville, WV 25508
Phone: 304-928-1848    
Amanda E Hinkle, APRN - FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 386 Airport Rd, Chapmanville, WV 25508
Phone: 304-855-1200    Fax: 304-855-1230
Karen Bryant, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 354 Airport Rd, Chapmanville, WV 25508
Phone: 304-855-4544    
Meagan Baisden, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 386 Airport Rd, Chapmanville, WV 25508
Phone: 304-855-1200    

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