Amanda Lea Willis, DO in Wichita, KS

Amanda Lea Willis, DO is a medicare enrolled "Pediatrics" physician in Wichita, Kansas. Her current practice location is 1122 N Topeka St, Wichita, Kansas. You can reach out to her office (for appointments etc.) via phone at (316) 866-2000.

Amanda Lea Willis is licensed to practice in Kansas (license number 0534830) 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 1710106059.

Contact Information

	Amanda Lea Willis, DO
	1122 N Topeka St, Wichita, KS 67214-2810
	(316) 866-2000
	(316) 866-2084

Map and Direction

Physician's Profile

Full Name	Amanda Lea Willis
Gender	Female
Speciality	Pediatrics
Location	1122 N Topeka St, Wichita, Kansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710106059
Provider Enumeration Date: 04/25/2007
Last Update Date: 11/22/2019

Medicare PECOS Information:

PECOS PAC ID: 3779806393
Enrollment ID: I20150106000907

Medical Identifiers

Medical identifiers for Amanda Lea Willis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710106059	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	E-6053 (Arkansas)	Secondary
208000000X	Pediatrics	0534830 (Kansas)	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. Amanda Lea Willis allows following entities to bill medicare on her behalf.

Entity Name	Gracemed Health Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184691693 PECOS PAC ID: 9830098185 Enrollment ID: O20040106000520

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. Amanda Lea 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
Amanda Lea Willis, DO 2214 Canterbury Dr, Suite 204, Hays, KS 67601-2386 Ph: (785) 623-2360	Amanda Lea Willis, DO 1122 N Topeka St, Wichita, KS 67214-2810 Ph: (316) 866-2000

Reviews and Comments

Pediatrics Doctors in Wichita, KS

Patrick Bowen, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1010 N. Kansas, Wcgme, Wichita, KS 67214 Phone: 316-962-3030
Dr. Cindy Daugherty, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 620 N Carriage Pkwy, Wichita, KS 67208 Phone: 316-962-3100 Fax: 316-962-3132
Deborah Anne Kroeker Alliston, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 620 N Carriage Pkwy, Wichita, KS 67208 Phone: 316-962-3100 Fax: 316-962-3132
Justin Alexander Mills, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-962-3030
Luke O Nichols, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9211 E 21st St N, Wichita, KS 67206 Phone: 316-609-4400 Fax: 316-634-4040
Kay Hocutt, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9211 E 21st St N, Wichita, KS 67206 Phone: 316-609-4400 Fax: 316-634-4040
Grace Nehme, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-293-2665

Amanda Lea Willis, DO - Medicare Pediatrics in Wichita, KS