Austin Glenn Willis, DO in Albuquerque, NM

Austin Glenn Willis, DO is a medicare enrolled "Pediatrics" physician in Albuquerque, New Mexico. His current practice location is 1100 Central Ave Se, Albuquerque, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 841-1063.

Austin Glenn Willis is licensed to practice in New Mexico (license number A-2075-17) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1083034920.

Contact Information

	Austin Glenn Willis, DO
	1100 Central Ave Se, Albuquerque, NM 87106-4930
	(505) 841-1063
	Not Available

Map and Direction

Physician's Profile

Full Name	Austin Glenn Willis
Gender	Male
Speciality	Pediatrics
Location	1100 Central Ave Se, Albuquerque, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083034920
Provider Enumeration Date: 04/18/2014
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 7012282171
Enrollment ID: I20170929001296

Medical Identifiers

Medical identifiers for Austin Glenn Willis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083034920	NPI	-	NPPES
32103778	Medicaid	NM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	BP1-0059381 (Texas)	Secondary
208000000X	Pediatrics	A-2075-17 (New Mexico)	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. Austin Glenn Willis allows following entities to bill medicare on his behalf.

Entity Name	Presbyterian Healthcare Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603

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. Austin Glenn 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
Austin Glenn Willis, DO Po Box 26666, Phs Provider Enrollment, Albuquerque, NM 87125-6666 Ph: (505) 923-6770	Austin Glenn Willis, DO 1100 Central Ave Se, Albuquerque, NM 87106-4930 Ph: (505) 841-1063

Reviews and Comments

Pediatrics Doctors in Albuquerque, NM

Janell Fuller, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3rd Ambulatory Care Ctr, 2211 Lomas Blvd. Ne, Albuquerque, NM 87131 Phone: 505-272-2345
Ivana Radovanovic, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2211 Lomas Ne Acc 3w, Albuquerque, NM 87131 Phone: 505-272-6632 Fax: 505-272-6620
Lynn Longfield, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4420 Irving Blvd Nw, Albuquerque, NM 87114 Phone: 505-823-1010 Fax: 505-797-4503
Thomas Rothfeld, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 401 San Mateo Blvd Se, Pmg San Mateo, Albuquerque, NM 87108 Phone: 505-462-7306 Fax: 505-462-7495
Dr. Leslie Erin Strickler, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 2211 Lomas Blvd Ne, Albuquerque, NM 87106 Phone: 505-272-5551 Fax: 505-272-6845
Jennifer M Garcia, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2001 El Centro Familiar Blvd Sw, Albuquerque, NM 87105 Phone: 505-873-7400 Fax: 505-224-8797
Dr. William B Hawk, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5904 Holly Ave Ne, Albuquerque, NM 87113 Phone: 505-298-2505 Fax: 505-298-2985

Austin Glenn Willis, DO - Medicare Pediatrics in Albuquerque, NM