Bradley S Willis, MD in Summersville, WV - Medicare Family Practice

Bradley S Willis, MD is a medicare enrolled "Family Medicine" physician in Summersville, West Virginia. He went to West Virginia University School Of Medicine and graduated in 2006 and has 18 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Braxton County Memorial Hospital, West Virginia Health Care Cooperative Inc and his current practice location is 400 Fairview Heights Rd, Summersville, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 872-8545.

Bradley S Willis is licensed to practice in West Virginia (license number 23490) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1578777389.

Contact Information

	Bradley S Willis, MD
	400 Fairview Heights Rd, Summersville, WV 26651-9308
	(304) 872-8545
	(304) 872-0675

Map and Direction

Physician's Profile

Full Name	Bradley S Willis
Gender	Male
Speciality	Family Practice
Experience	18 Years
Location	400 Fairview Heights Rd, Summersville, West Virginia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Bradley S Willis attended and graduated from West Virginia University School Of Medicine in 2006

NPI Data:

NPI Number: 1578777389
Provider Enumeration Date: 05/10/2007
Last Update Date: 08/06/2021

Medicare PECOS Information:

PECOS PAC ID: 8224181573
Enrollment ID: I20090804000197

Medical Identifiers

Medical identifiers for Bradley S Willis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578777389	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	23490 (West Virginia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Summersville Regional Medical Center	Summersville, WV	Hospital
Braxton County Memorial Hospital, Inc	Gassaway, WV	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Braxton County Memorial Hospital	5193717759	16
West Virginia Health Care Cooperative Inc	9830431030	38

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. Bradley S Willis allows following entities to bill medicare on his behalf.

Entity Name	Braxton County Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356304547 PECOS PAC ID: 5193717759 Enrollment ID: O20040401001560

Entity Name	West Virginia Health Care Cooperative Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417415324 PECOS PAC ID: 9830431030 Enrollment ID: O20190508000440

Entity Name	West Virginia Health Care Cooperative Inc
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1043778319 PECOS PAC ID: 9830431030 Enrollment ID: O20190531001788

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. Bradley S 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
Bradley S Willis, MD 400 Fairview Heights Rd, Summersville, WV 26651-9308 Ph: (304) 872-8545	Bradley S Willis, MD 400 Fairview Heights Rd, Summersville, WV 26651-9308 Ph: (304) 872-8545

Reviews and Comments

Family Medicine Doctors in Summersville, WV

Robert Charles Stanley, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 702 Professional Park Dr, Suite 100, Summersville, WV 26651 Phone: 304-872-2991 Fax: 304-872-6268
Bruce Kevin Greenberg, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 Fairview Heights Rd, Summersville, WV 26651 Phone: 304-872-5090 Fax: 304-872-0636
Dr. Keith Richard De Young, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 415 Main St, Summersville, WV 26651 Phone: 304-872-1663
Dr. Crischelle L Shank, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 Fairview Heights Rd, Summersville, WV 26651 Phone: 304-842-5090
Dr. Richard Stockton Trenbath, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 211 Merchants Walk, Shopping Center, Summersville, WV 26651 Phone: 304-872-9455 Fax: 304-872-9456
Kathy Hamon, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 415 Main St, Summersville, WV 26651 Phone: 304-872-1663 Fax: 304-872-1804
Mark Lynwood Wantz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 Fairview Heights Rd, Summersville, WV 26651 Phone: 304-872-5090 Fax: 304-872-0636

Bradley S Willis, MD - Medicare Family Practice in Summersville, WV