Leo Willis, is a
Peer Specialist based in Salt Lake City, Utah. Leo Willis is licensed to practice in * (Not Available) (license number ) and his current practice location is
4460 S Highland Dr, Salt Lake City, Utah. He can be reached at his office (for appointments etc.) via phone at
(888) 949-4864.
NPI number for Leo Willis is 1932632593 and his current mailing address is 4460 S Highland Dr, Salt Lake City, Utah. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1932632593.
Healthcare Provider's Profile
Full Name | Leo Willis |
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Gender | Male |
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Speciality | Peer Specialist |
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Location | 4460 S Highland Dr, Salt Lake City, Utah |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1932632593
- Provider Enumeration Date: 04/10/2017
- Last Update Date: 11/29/2022
Medical Identifiers
Medical identifiers for Leo Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932632593 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
175T00000X | Peer Specialist | (* (Not Available)) | Primary |
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. Leo Willis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Leo Willis, 4460 S Highland Dr, Salt Lake City, UT 84124-3543 Ph: (888) 949-4864 | Leo Willis, 4460 S Highland Dr, Salt Lake City, UT 84124-3543 Ph: (888) 949-4864 |
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