Dr Jerrold C Willis, MD in Mount Vernon, IL

Dr Jerrold C Willis, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Mount Vernon, Illinois. His current practice location is 1 Good Samaritan Way, Radiology Dept, Mount Vernon, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 242-4600.

Dr Jerrold C Willis is licensed to practice in Illinois (license number 36057038) 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 1467407072.

Contact Information

	Dr Jerrold C Willis, MD
	1 Good Samaritan Way, Radiology Dept, Mount Vernon, IL 62864-2402
	(618) 242-4600
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Jerrold C Willis
Gender	Male
Speciality
Experience	Years
Location	1 Good Samaritan Way, Mount Vernon, Illinois
Accepts Medicare Assignments	Yes. 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 Jerrold C Willis attended and graduated from in

NPI Data:

NPI Number: 1467407072
Provider Enumeration Date: 05/23/2006
Last Update Date: 03/15/2021

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Dr Jerrold C Willis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467407072	NPI	-	NPPES
300119485	Other	IL	RAILROAD ST JOES/UTLAH
300117217	Other	IL	RAILROAD GOOD SAM & ST MARY'S
036057038-3	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	36057038 (Illinois)	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 Jerrold C 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 Address	Practice Location Address
Dr Jerrold C Willis, MD Po Box 2153 Dept 20002, Birmingham, AL 35287-0001 Ph: (877) 465-0012	Dr Jerrold C Willis, MD 1 Good Samaritan Way, Radiology Dept, Mount Vernon, IL 62864-2402 Ph: (618) 242-4600

Reviews and Comments

Radiology Doctors in Mount Vernon, IL

Kent S Quinn, MD Radiology Medicare: Medicare Enrolled Practice Location: 1 Good Samaritan Way, Attn Radiology Dept, Mount Vernon, IL 62864 Phone: 618-242-4600 Fax: 618-242-4600
Dr. Neetin C Patel, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 1 Good Samaritan Way, Mount Vernon, IL 62864 Phone: 618-242-4600
John Ryan Willis, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Good Samaritan Way, Mount Vernon, IL 62864 Phone: 618-242-4600
Dr. Anthony N Sodd, MD Radiology Medicare: Medicare Enrolled Practice Location: 1 Good Samaritan Way, Attn: Radiology Dept, Mount Vernon, IL 62864 Phone: 618-242-4600
Dr. Graeme Donald Fisher, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4117 Veterans Memorial Drive, Mount Vernon, IL 62864 Phone: 618-241-7016
Dr. Zuhair Mohammad Elzimmili, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Good Samaritan Way, Mount Vernon, IL 62864 Phone: 877-465-0012 Fax: 303-438-1351

Dr Jerrold C Willis, MD - Medicare in Mount Vernon, IL