Dr Edric Browning Willes, MD is a
Pathology - Anatomic Pathology & Clinical Pathology physician based in Bishop, California. Dr Edric Browning Willes is licensed to practice in California (license number G29373) and his current practice location is 150 Pioneer Lane, Bishop, California. He can be reached at his office (for appointments etc.) via phone at
(760) 872-2665.
NPI number for Dr Edric Browning Willes is 1023137684 and his current mailing address is 674 Snow Circle, Bishop, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1023137684.
Physician's Profile
| Full Name | Dr Edric Browning Willes |
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| Gender | Male |
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| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
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| Location | 150 Pioneer Lane, Bishop, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1023137684
- Provider Enumeration Date: 03/28/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Edric Browning Willes such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023137684 | NPI | - | NPPES |
| 00G293730 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | G29373 (California) | Primary |
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 Edric Browning Willes is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Edric Browning Willes, MD
674 Snow Circle,
Bishop, CA 93514-3166
Ph: (760) 872-2665 | Dr Edric Browning Willes, MD
150 Pioneer Lane,
Bishop, CA 93514-3166
Ph: (760) 872-2665 |
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