Terri Lynn Willis, DMD in Cedartown, GA - Medicare Dentist Provider

Terri Lynn Willis, DMD is a medicare enrolled "Dentist" provider in Cedartown, Georgia. Her current practice location is 113 Plantation Ave, Suite A, Cedartown, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 748-2622.

Terri Lynn Willis is licensed to practice in Georgia (license number DN013531) 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 1417168808.

Contact Information

	Terri Lynn Willis, DMD
	113 Plantation Ave, Suite A, Cedartown, GA 30125
	(770) 748-2622
	(770) 749-1976

Map and Direction

Healthcare Provider's Profile

Full Name	Terri Lynn Willis
Gender	Female
Speciality	Dentist
Location	113 Plantation Ave, Cedartown, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417168808
Provider Enumeration Date: 05/25/2007
Last Update Date: 10/06/2016

Medicare PECOS Information:

PECOS PAC ID: 6103114921
Enrollment ID: I20161011002711

Medical Identifiers

Medical identifiers for Terri Lynn Willis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417168808	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	DN013531 (Georgia)	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. Terri 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 Address	Practice Location Address
Terri Lynn Willis, DMD 224 S College St, Cedartown, GA 30125-2936 Ph: (770) 324-2459	Terri Lynn Willis, DMD 113 Plantation Ave, Suite A, Cedartown, GA 30125 Ph: (770) 748-2622

Reviews and Comments

Dentist in Cedartown, GA

Benjamin Wade Alverson, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 113 Plantation Ave, Cedartown, GA 30125 Phone: 770-748-7736
Jessica L Montgomery, DMD Dentist Medicare: Medicare Enrolled Practice Location: 118 E Girard Ave, Cedartown, GA 30125 Phone: 678-246-5174 Fax: 678-901-3336
Dr. Gerald David Palatini Jr., D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 113 Plantation Ave, Suite A, Cedartown, GA 30125 Phone: 770-748-2622 Fax: 770-749-1976
Mauzard Benjamin, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 230 East Avenue, Cedartown, GA 30125 Phone: 770-274-6199 Fax: 770-274-6144
Dr. Nhi Joy Ho, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 109 East Ave, Cedartown, GA 30125 Phone: 770-748-7736 Fax: 770-748-4015
Dr. Carol P. Edwards, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 113 Plantation Ave Ste B, Cedartown, GA 30125 Phone: 770-748-2610

Terri Lynn Willis, DMD - Medicare Dentist in Cedartown, GA