Justin Kyle Willis, DC - Medicare Chiropractor in Kennesaw, GA

Justin Kyle Willis, DC is a medicare enrolled "Chiropractor" provider in Kennesaw, Georgia. He went to Sherman College Of Straight Chiropractic and graduated in 2013 and has 11 years of diverse experience with area of expertise as Chiropractic. His current practice location is 2829 Dallas St Nw, Kennesaw, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 429-0707.

Justin Kyle Willis is licensed to practice in Georgia (license number 9165) 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 1639501588.

Contact Information

Justin Kyle Willis, DC
2829 Dallas St Nw,
Kennesaw, GA 30144-2705
(770) 429-0707
(770) 425-9020

Map and Direction




Healthcare Provider's Profile

Full NameJustin Kyle Willis
GenderMale
SpecialityChiropractic
Experience11 Years
Location2829 Dallas St Nw, Kennesaw, Georgia
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:
  • Justin Kyle Willis attended and graduated from Sherman College Of Straight Chiropractic in 2013
  NPI Data:
  • NPI Number: 1639501588
  • Provider Enumeration Date: 08/02/2013
  • Last Update Date: 08/02/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 8325280472
  • Enrollment ID: I20130820000498

Medical Identifiers

Medical identifiers for Justin Kyle Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639501588NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor 9165 (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. Justin Kyle Willis allows following entities to bill medicare on his behalf.
Provider NameWillis Family Chiropractic Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1811442213
PECOS PAC ID: 4183902638
Enrollment ID: O20161103001110

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. Justin Kyle 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
Justin Kyle Willis, DC
2829 Dallas St Nw,
Kennesaw, GA 30144-2705

Ph: (770) 429-0707
Justin Kyle Willis, DC
2829 Dallas St Nw,
Kennesaw, GA 30144-2705

Ph: (770) 429-0707

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.