Dr Amos J Willis, MD is a medicare enrolled "Ophthalmology" physician in Nags Head, North Carolina. He went to State University Of New York Downstate Medical Center and graduated in 1970 and has 54 years of diverse experience with area of expertise as Ophthalmology. His current practice location is
112 West Woodhill Drive, Nags Head, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(252) 261-8778.
Dr Amos J Willis is licensed to practice in North Carolina (license number 2015-00049) 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 1528062015.
Physician's Profile
| Full Name | Dr Amos J Willis |
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| Gender | Male |
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| Speciality | Ophthalmology |
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| Experience | 54 Years |
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| Location | 112 West Woodhill Drive, Nags Head, North Carolina |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Amos J Willis attended and graduated from State University Of New York Downstate Medical Center in 1970
NPI Data:
- NPI Number: 1528062015
- Provider Enumeration Date: 06/13/2005
- Last Update Date: 03/16/2020
Medicare PECOS Information:
- PECOS PAC ID: 7214063551
- Enrollment ID: I20170213001862
Medical Identifiers
Medical identifiers for Dr Amos J Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528062015 | NPI | - | NPPES |
| 006352278 | Medicaid | VA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207W00000X | Ophthalmology | 01010249 (Virginia) | Secondary |
| 207W00000X | Ophthalmology | 2015-00049 (North Carolina) | 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. Dr Amos J Willis allows following entities to bill medicare on his behalf.
| Entity Name | Southern Shores Eye Care Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508309188
PECOS PAC ID: 3375826506
Enrollment ID: O20170213001784 |
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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. Dr Amos J 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 |
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Dr Amos J Willis, MD
Po Box 328,
Nags Head, NC 27959-0328
Ph: (252) 489-5829 | Dr Amos J Willis, MD
112 West Woodhill Drive,
Nags Head, NC 27959-2795
Ph: (252) 261-8778 |
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