Amber D Willis, MD in Summerville, SC - Medicare Family Practice

Amber D Willis, MD is a medicare enrolled "Family Medicine" physician in Summerville, South Carolina. She went to Baylor College Of Medicine and graduated in 2006 and has 18 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Acs Primary Care Physicians - Southeast Pc and her current practice location is 1114 N Main St, Summerville, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 212-8070.

Amber D Willis is licensed to practice in South Carolina (license number 40153) 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 1649443607.

Contact Information

	Amber D Willis, MD
	1114 N Main St, Summerville, SC 29483-7326
	(843) 212-8070
	(843) 212-8071

Map and Direction

Physician's Profile

Full Name	Amber D Willis
Gender	Female
Speciality	Family Practice
Experience	18 Years
Location	1114 N Main St, Summerville, South Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Amber D Willis attended and graduated from Baylor College Of Medicine in 2006

NPI Data:

NPI Number: 1649443607
Provider Enumeration Date: 04/10/2008
Last Update Date: 01/23/2017

Medicare PECOS Information:

PECOS PAC ID: 9537247010
Enrollment ID: I20170228001721

Medical Identifiers

Medical identifiers for Amber D Willis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649443607	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	ML002812 (Pennsylvania)	Secondary
207Q00000X	Family Medicine	40153 (South Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mcleod Health Clarendon	Manning, SC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Acs Primary Care Physicians - Southeast Pc	5193620714	335

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. Amber D Willis allows following entities to bill medicare on her behalf.

Entity Name	Mcleod Regional Medical Center Of The Pee Dee, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427004738 PECOS PAC ID: 7416851852 Enrollment ID: O20040630000125

Entity Name	Acs Primary Care Physicians - Southeast Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861430555 PECOS PAC ID: 5193620714 Enrollment ID: O20090401000270

Entity Name	Mcleod Health Clarendon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508218793 PECOS PAC ID: 0840582656 Enrollment ID: O20160915000930

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. Amber D 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
Amber D Willis, MD Po Box 751649, Charlotte, NC 28275-1649 Ph: (843) 789-1620	Amber D Willis, MD 1114 N Main St, Summerville, SC 29483-7326 Ph: (843) 212-8070

Reviews and Comments

Family Medicine Doctors in Summerville, SC

Dr. David Paul Smith, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 133 E 1st North St, Suite 2 Magnolia Square, Summerville, SC 29483 Phone: 843-871-1800 Fax: 843-871-5121
Dr. Suzann Hutto Weathers, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 87 Springview Ln, Summerville, SC 29485 Phone: 843-876-7979
Anthony Joel Yuen, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1112 N Main St, Summerville, SC 29483 Phone: 843-212-8080 Fax: 843-212-8081
Dr. Merritt Stanley Huber Iii, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2000 1st Avenue, Summerville, SC 29486 Phone: 843-876-7930
Dr. Amy Carol Forren, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1724 State Rd Unit 6b, Summerville, SC 29486 Phone: 843-606-7100
Dana L Simpson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 679 Orangeburg Rd, Suite F, Summerville, SC 29483 Phone: 843-261-2600 Fax: 888-839-6837
Dr. Walter David Leventhal, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 299 Midland Pkwy # A, Summerville, SC 29485 Phone: 843-875-7901 Fax: 843-832-2038

Amber D Willis, MD - Medicare Family Practice in Summerville, SC