Mary E Willis, RD, LD, CDE is a medicare enrolled "Dietitian, Registered" provider in Stanley, Kansas. She graduated from medical school in 1985 and has 40 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice Overland Park Surgical Specialties Llc and her current practice location is
15101 Glenwood Ave, Stanley, Kansas. You can reach out to her office (for appointments etc.) via phone at
(913) 681-8866.
Mary E Willis is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1710127626.
Healthcare Provider's Profile
| Full Name | Mary E Willis |
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| Gender | Female |
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| Speciality | Registered Dietitian Or Nutrition Professional |
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| Experience | 40 Years |
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| Location | 15101 Glenwood Ave, Stanley, Kansas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mary E Willis graduated from medical school in 1985
NPI Data:
- NPI Number: 1710127626
- Provider Enumeration Date: 03/05/2009
- Last Update Date: 01/08/2013
Medicare PECOS Information:
- PECOS PAC ID: 3375738024
- Enrollment ID: I20101108001433
Medical Identifiers
Medical identifiers for Mary E Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1710127626 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Overland Park Surgical Specialties Llc | 9234318502 | 105 |
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. Mary E Willis allows following entities to bill medicare on her behalf.
| Provider Name | Overland Park Surgical Specialties Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1760798540
PECOS PAC ID: 9234318502
Enrollment ID: O20110119001046 |
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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. Mary E 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 |
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Mary E Willis, RD, LD, CDE
Po Box 741331,
Atlanta, GA 30374-1331
Ph: (913) 469-0503 | Mary E Willis, RD, LD, CDE
15101 Glenwood Ave,
Stanley, KS 66223-3154
Ph: (913) 681-8866 |
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