Dr Jeffrey Jon Willis, DO - Medicare Radiology in Burnsville, MN

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Dr Jeffrey Jon Willis, DO is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Burnsville, Minnesota. His current practice location is 835 E 145th St, Burnsville, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 595-1100.

Dr Jeffrey Jon Willis is licensed to practice in Minnesota (license number 50359) 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 1669431870.

Contact Information

Dr Jeffrey Jon Willis, DO
835 E 145th St,
Burnsville, MN 55337-4623
(952) 595-1100
(612) 294-4903

Map and Direction




Physician's Profile

Full NameDr Jeffrey Jon Willis
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location835 E 145th St, Burnsville, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1669431870
  • Provider Enumeration Date: 03/17/2006
  • Last Update Date: 06/22/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 3678472818
  • Enrollment ID: I20090106000377

Medical Identifiers

Medical identifiers for Dr Jeffrey Jon Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669431870NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 02844 (Iowa)Secondary
2085R0202XRadiology - Diagnostic Radiology 50359 (Minnesota)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 Jeffrey Jon Willis allows following entities to bill medicare on his behalf.
Entity NameRadadvantage A Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376719666
PECOS PAC ID: 2163597899
Enrollment ID: O20150106000986

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 Jeffrey Jon 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 Jeffrey Jon Willis, DO
11995 Singletree Ln, Suite 500,
Eden Prairie, MN 55344-5347

Ph: (952) 595-1301		Dr Jeffrey Jon Willis, DO
835 E 145th St,
Burnsville, MN 55337-4623

Ph: (952) 595-1100

Reviews and Comments


Radiology Doctors in Burnsville, MN

Raul Fernandez-gonzalez, MD
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Phone: 952-435-8668    Fax: 952-435-5567
Lenore I Everson, MD
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Practice Location: 2428 E 117th St, Burnsville, MN 55337
Phone: 612-444-3000    Fax: 612-449-0004
Dr. Daniel Hayward, M.D.
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Practice Location: 14000 Fairview Dr, Burnsville, MN 55337
Phone: 952-993-8700    
Dr. Timothy A Leafblad, M.D.
Radiology
Medicare: Medicare Enrolled
Practice Location: 14000 Fairview Dr, Burnsville, MN 55337
Phone: 952-993-8673    

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.