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

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Dr Jerrold C Willis, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Mount Vernon, Illinois. He went to Southern Illinois University School Of Medicine and graduated in 1977 and has 47 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Specialists In Medical Imaging Sc, Asbery And Associates Ob Gyn Llc and 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 NameDr Jerrold C Willis
GenderMale
SpecialityDiagnostic Radiology
Experience47 Years
Location1 Good Samaritan Way, Mount Vernon, Illinois
Accepts Medicare AssignmentsYes. 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 Southern Illinois University School Of Medicine in 1977
  NPI Data:
  • NPI Number: 1467407072
  • Provider Enumeration Date: 05/23/2006
  • Last Update Date: 03/15/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8921086539
  • Enrollment ID: I20040709001419

Medical Identifiers

Medical identifiers for Dr Jerrold C Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467407072NPI-NPPES
300119485OtherILRAILROAD ST JOES/UTLAH
300117217OtherILRAILROAD GOOD SAM & ST MARY'S
036057038-3MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 36057038 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Fairfield Memorial Hospital 1Fairfield, ILHospital
Crossroads Community HospitalMount vernon, ILHospital
Heartland Regional Medical CenterMarion, ILHospital
Wabash General Hospital 1Mount carmel, ILHospital
Ferrell Hospital Community FoundationsEldorado, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Specialists In Medical Imaging Sc2163733544202
Asbery And Associates Ob Gyn Llc650799313611

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 Jerrold C Willis allows following entities to bill medicare on his behalf.
Entity NameSt Marys Hospital Centralia Illinois
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770687196
PECOS PAC ID: 6709788920
Enrollment ID: O20040127000118
Entity NameCrawford Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861423287
PECOS PAC ID: 7719898071
Enrollment ID: O20040205000950
Entity NameHshs Holy Family Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205850690
PECOS PAC ID: 7517879349
Enrollment ID: O20040216000198
Entity NameMid America Radiology Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770538282
PECOS PAC ID: 5294797353
Enrollment ID: O20041101000473
Entity NameAsbery And Associates Ob Gyn Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033440722
PECOS PAC ID: 6507993136
Enrollment ID: O20100429000968
Entity NameSpecialists In Medical Imaging Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841687951
PECOS PAC ID: 2163733544
Enrollment ID: O20150626000251

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 AddressPractice 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

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.