Dr Darrell E Willis, MD | |
402 E Miel De Luna Ave, Tucumcari, NM 88401-3828 | |
(575) 461-7100 | |
(575) 461-7101 |
Full Name | Dr Darrell E Willis |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 27 Years |
Location | 402 E Miel De Luna Ave, Tucumcari, New Mexico |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740235480 | NPI | - | NPPES |
256613300 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME77630 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Tucumcari Home Health | Tucumcari, NM | Home health agency |
Tucumcari Hospice | Tucumcari, NM | Hospice |
Dr Dan C Trigg Memorial Hospital | Tucumcari, NM | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Presbyterian Healthcare Services | 9234041708 | 1119 |
Entity Name | Presbyterian Healthcare Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603 |
Mailing Address | Practice Location Address |
---|---|
Dr Darrell E Willis, MD 909 Escuela Ave, Tucumcari, NM 88401-4616 Ph: (850) 376-6042 | Dr Darrell E Willis, MD 402 E Miel De Luna Ave, Tucumcari, NM 88401-3828 Ph: (575) 461-7100 |
Mudassir Mubeen Saleemi, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1302 E Main St, Tucumcari, NM 88401 Phone: 505-461-2200 Fax: 505-461-2213 | |
Haily Wallace, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 402 E Miel De Luna Ave, Pmg At Dr Dan C Trigg Memorial Hospital, Tucumcari, NM 88401 Phone: 575-461-7100 Fax: 575-461-7101 |