Dr David Randall Willis, DO - Medicare Family Medicine in Wadley, AL

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Dr David Randall Willis, DO is a medicare enrolled "Family Medicine" physician in Wadley, Alabama. His current practice location is 203 Tallapoosa Street, Wadley, Alabama. You can reach out to his office (for appointments etc.) via phone at (256) 395-4757.

Dr David Randall Willis is licensed to practice in Alabama (license number DO288) 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 1710901970.

Contact Information

Dr David Randall Willis, DO
203 Tallapoosa Street,
Wadley, AL 36276
(256) 395-4757
(256) 395-6055

Map and Direction




Physician's Profile

Full NameDr David Randall Willis
GenderMale
SpecialityFamily Medicine
Location203 Tallapoosa Street, Wadley, Alabama
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1710901970
  • Provider Enumeration Date: 07/27/2006
  • Last Update Date: 10/12/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 8224091392
  • Enrollment ID: I20041109001102

Medical Identifiers

Medical identifiers for Dr David Randall Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710901970NPI-NPPES
110498MedicaidAL
009995350MedicaidAL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine DO288 (Alabama)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 David Randall Willis allows following entities to bill medicare on his behalf.
Entity NameAmerican Family Care, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669429080
PECOS PAC ID: 9739087818
Enrollment ID: O20031229000157
Entity NameMedical Center Plus Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104459411
PECOS PAC ID: 7911317755
Enrollment ID: O20201105000874

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 David Randall 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 David Randall Willis, DO
Po Box 97,
Gadsden, AL 35902-0097

Ph: (256) 492-0131		Dr David Randall Willis, DO
203 Tallapoosa Street,
Wadley, AL 36276

Ph: (256) 395-4757

Reviews and Comments


Family Medicine Doctors in Wadley, AL


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.