Dr Blake Krefton Willis, MD - Medicare Emergency Medicine in Charleston, SC

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Dr Blake Krefton Willis, MD is a medicare enrolled "Emergency Medicine" physician in Charleston, South Carolina. He went to Medical College Of Georgia School Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Acs Primary Care Physicians - Southeast Pc and his current practice location is 169 Ashley Ave, Charleston, South Carolina. You can reach out to his office (for appointments etc.) via phone at (843) 792-1414.

Dr Blake Krefton Willis is licensed to practice in South Carolina (license number LL 34844) 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 1841553328.

Contact Information

Dr Blake Krefton Willis, MD
169 Ashley Ave,
Charleston, SC 29425-8908
(843) 792-1414
Not Available

Map and Direction




Physician's Profile

Full NameDr Blake Krefton Willis
GenderMale
SpecialityEmergency Medicine
Experience12 Years
Location169 Ashley Ave, Charleston, South Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Blake Krefton Willis attended and graduated from Medical College Of Georgia School Of Medicine in 2012
  NPI Data:
  • NPI Number: 1841553328
  • Provider Enumeration Date: 06/20/2012
  • Last Update Date: 07/01/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 1951522531
  • Enrollment ID: I20151005002921

Medical Identifiers

Medical identifiers for Dr Blake Krefton Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841553328NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine LL 34844 (South Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Fairview Park HospitalDublin, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Acs Primary Care Physicians - Southeast Pc5193620714335

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 Blake Krefton Willis allows following entities to bill medicare on his behalf.
Entity NamePrisma Health-midlands
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205889458
PECOS PAC ID: 6800708330
Enrollment ID: O20031110000506
Entity NameRoper Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104983055
PECOS PAC ID: 8426958919
Enrollment ID: O20040114000413
Entity NameBon Secours St Francis Xavier Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770867442
PECOS PAC ID: 8325008717
Enrollment ID: O20041011000439
Entity NameAcs Primary Care Physicians - Southeast Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861430555
PECOS PAC ID: 5193620714
Enrollment ID: O20090401000270
Entity NameRoper St. Francis Mount Pleasant Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629499298
PECOS PAC ID: 1658567326
Enrollment ID: O20110207000316
Entity NameSound Physicians Emergency Medicine Of South Carolina Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730636168
PECOS PAC ID: 2163702739
Enrollment ID: O20161219000460

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 Blake Krefton 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 AddressPractice Location Address
Dr Blake Krefton Willis, MD
Po Box 751461,
Charlotte, NC 28275-1461

Ph: (843) 792-6200		Dr Blake Krefton Willis, MD
169 Ashley Ave,
Charleston, SC 29425-8908

Ph: (843) 792-1414

Reviews and Comments


Emergency Medicine Doctors in Charleston, SC

Jordan James Mccarthy, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 169 Ashley Ave # Msc300, Charleston, SC 29425
Phone: 843-876-8023    
Rossen Ivanov Kirkov, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 9330 Medical Plaza Dr, Charleston, SC 29406
Phone: 843-797-7000    
Dr. Terry Kowalenko, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 171 Ashley Ave, Charleston, SC 29425
Phone: 843-792-1414    
Steven H Saef, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 171 Ashley Ave, Charleston, SC 29425
Phone: 843-792-1414    
Elizabeth Barton Winton, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 171 Ashley Ave, Charleston, SC 29425
Phone: 843-792-1414    
Dr. Gary L. Rose, DNP, FNP, ENP, APRN
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1755 Ashley Hall Rd Apt E2, Charleston, SC 29407
Phone: 843-693-8385    
Dr. Kelli Marie Young, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2095 Henry Tecklenburg Dr, Charleston, SC 29414
Phone: 843-402-1037    Fax: 843-402-1295

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.