DR. HAL BRET WILLARDSON MD
NPI 1275924300
Dermatology in Palmer, AK
About Dr. Hal Bret Willardson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. HAL BRET WILLARDSON MD (NPI 1275924300) is an individual dermatology provider in Palmer, Alaska, licensed in Alaska (183209) and active in the NPI registry since February 2015. He is enrolled in Medicare PECOS and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (2015).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Hal Bret Willardson Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Hal Willardson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Palmer, AK 99645
- Reassigned Medicare billing, Alaska enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 99645 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PALMER, AK 99645
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Hal Willardson's NPI number?
The NPI number for Hal Willardson is 1275924300. It was assigned to this individual provider in the NPPES registry on February 11, 2015.
Where is Hal Willardson located?
Hal Willardson practices at 2250 S Woodworth Loop Ste 101, Palmer, AK 99645. The listed phone number is (907) 745-7546.
What is Hal Willardson's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Hal Willardson enrolled in Medicare?
Yes. Hal Willardson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Hal Willardson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Hal Willardson reassigns Medicare benefits to Mat-Su Dermatology, LLC (Palmer, AK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Hal Willardson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Hal Willardson accept?
Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Hal Willardson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Hal Willardson was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Hal Bret Willardson, MD · NPI 1275924300
Dermatology physician in Palmer, Alaska. Individual provider, active in the CMS NPPES registry since February 11, 2015.
## Identity
- **NPI:** 1275924300 (Entity type: Individual)
- **Enumerated:** February 11, 2015
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **State license:** 183209 (Alaska)
- **Sole proprietor:** No
## Practice location
- **Address:** 2250 S WOODWORTH LOOP STE 101, Palmer, AK 99645-7457
- **Phone:** (907) 745-7546 · **Fax:** (907) 745-7540
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mat-Su Dermatology, LLC (NPI 1063300580, Palmer, AK), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Uniformed Services Uhs Fe Hebert School Of Med, class of 2015
## Record status
- **NPPES last updated:** May 21, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1275924300) · Data from the CMS NPPES public registry.