Brigham Craig Willis, MD in Tyler, TX

Brigham Craig Willis, MD is a medicare enrolled "Pediatrics - Pediatric Critical Care Medicine" physician in Tyler, Texas. His current practice location is 11937 Us Highway 271, Tyler, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 877-7480.

Brigham Craig Willis is licensed to practice in Texas (license number L9556) 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 1598701500.

Contact Information

	Brigham Craig Willis, MD
	11937 Us Highway 271, Tyler, TX 75708-3154
	(903) 877-7480
	Not Available

Map and Direction

Physician's Profile

Full Name	Brigham Craig Willis
Gender	Male
Speciality	Pediatrics - Pediatric Critical Care Medicine
Location	11937 Us Highway 271, Tyler, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598701500
Provider Enumeration Date: 06/20/2006
Last Update Date: 11/07/2024

Medicare PECOS Information:

PECOS PAC ID: 8426024928
Enrollment ID: I20040907000723

Medical Identifiers

Medical identifiers for Brigham Craig Willis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598701500	NPI	-	NPPES
167824501	Medicaid	TX
195165	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0203X	Pediatrics - Pediatric Critical Care Medicine	L9556 (Texas)	Primary
208000000X	Pediatrics	A71310 (California)	Secondary
2080P0203X	Pediatrics - Pediatric Critical Care Medicine	A71310 (California)	Secondary
2080P0203X	Pediatrics - Pediatric Critical Care Medicine	36689 (Arizona)	Secondary

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. Brigham Craig Willis allows following entities to bill medicare on his behalf.

Entity Name	University Of Texas Health Science Center At Tyler-facility-physician
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063400778 PECOS PAC ID: 4981699220 Enrollment ID: O20040416001048

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. Brigham Craig 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
Brigham Craig Willis, MD 11937 Us Highway 271, Tyler, TX 75708-3154 Ph: (903) 877-7480	Brigham Craig Willis, MD 11937 Us Highway 271, Tyler, TX 75708-3154 Ph: (903) 877-7480

Reviews and Comments

Pediatrics Doctors in Tyler, TX

Krystal Castle, DO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 305 W Rusk St, Tyler, TX 75701 Phone: 903-592-7304
Daniel Jun Park, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 706 Turtle Creek Dr, Tyler, TX 75701 Phone: 903-595-3942
Mrs. Valerie B Smith, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1350 E Richards St, Tyler, TX 75702 Phone: 903-531-9455 Fax: 903-526-3118
Kristina Orey Mitchell, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 E 5th St Ste 100, Tyler, TX 75701 Phone: 903-596-3862 Fax: 903-590-5005
Adelina G. Meadows, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 706 Turtle Creek Dr, Tyler, TX 75701 Phone: 903-595-3942
Dr. Michael David Austin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 E 5th St, Tyler, TX 75701 Phone: 903-594-2450 Fax: 903-939-0610
James Riley Davis, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1000 E 5th St Ste 100, Tyler, TX 75701 Phone: 903-590-5000 Fax: 903-590-5005

Brigham Craig Willis, MD - Medicare Pediatrics in Tyler, TX