Charla Rae Willis, MD in Lewiston, ID - Medicare Internal Medicine

Charla Rae Willis, MD is a medicare enrolled "Internal Medicine" physician in Lewiston, Idaho. She went to Loma Linda University School Of Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Catalyst Medical Group Pllc and her current practice location is 2315 8th St, Lewiston, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 746-1383.

Charla Rae Willis is licensed to practice in Idaho (license number M9369) 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 1497846091.

Contact Information

	Charla Rae Willis, MD
	2315 8th St, Lewiston, ID 83501-7301
	(208) 746-1383
	(208) 746-6348

Map and Direction

Physician's Profile

Full Name	Charla Rae Willis
Gender	Female
Speciality	Internal Medicine
Experience	33 Years
Location	2315 8th St, Lewiston, Idaho
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:

Charla Rae Willis attended and graduated from Loma Linda University School Of Medicine in 1991

NPI Data:

NPI Number: 1497846091
Provider Enumeration Date: 09/27/2006
Last Update Date: 03/07/2016

Medicare PECOS Information:

PECOS PAC ID: 3274564588
Enrollment ID: I20050826000228

Medical Identifiers

Medical identifiers for Charla Rae Willis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497846091	NPI	-	NPPES
1011897	Medicaid	WA
74930	Other	ID	BLUE CROSS
1131387	Other	ID	DMERC
0222531	Other	WA	LABOR & INDUSTRIES
1497846091	Other	ID	REGENCE BLUESHIELD
1497846091	Medicaid	ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	M9369 (Idaho)	Primary
207R00000X	Internal Medicine	MD00045264 (Washington)	Secondary
207R00000X	Internal Medicine	033594 (Connecticut)	Secondary
207R00000X	Internal Medicine	D0056472 (Maryland)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Elite Home Health	Clarkston, WA	Home health agency
St Joseph Regional Medical Center	Lewiston, ID	Hospital
Tri-state Memorial Hospital	Clarkston, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Catalyst Medical Group Pllc	2365722105	37

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. Charla Rae Willis allows following entities to bill medicare on her behalf.

Entity Name	Catalyst Medical Group Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912458787 PECOS PAC ID: 2365722105 Enrollment ID: O20161213001188

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. Charla Rae 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
Charla Rae Willis, MD 2315 8th St, Lewiston, ID 83501-7301 Ph: (208) 746-1383	Charla Rae Willis, MD 2315 8th St, Lewiston, ID 83501-7301 Ph: (208) 746-1383

Reviews and Comments

Internal Medicine Doctors in Lewiston, ID

Robert Alan Wales, MD, FACC Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2315 8th St Grade, Lewiston, ID 83501 Phone: 509-455-8820 Fax: 509-227-7070
David B Souvenir, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-750-7204 Fax: 208-746-0134
Jane A Fore, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 415 Sixth St, Lewiston, ID 83501 Phone: 208-750-7445
Dr. Heather Fowler Cumbo, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-750-7445
Sushma Pant, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1250 Idaho Street, Lewiston, ID 83501 Phone: 208-743-7427 Fax: 208-743-7421
Dr. Michael Rooney, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-743-2511 Fax: 208-799-5528
Dr. William Westel Rowe, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-750-7507

Charla Rae Willis, MD - Medicare Internal Medicine in Lewiston, ID