Dr John Harter Willis, MD in Winston Salem, NC

Dr John Harter Willis, MD is a medicare enrolled "Otolaryngology" physician in Winston Salem, North Carolina. He graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Piedmont Ear, Nose And Throat Associates, P.a. and his current practice location is 110 Charlois Blvd, Winston Salem, North Carolina. You can reach out to his office (for appointments etc.) via phone at (336) 768-3361.

Dr John Harter Willis is licensed to practice in North Carolina (license number 2015-00476) 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 1982929741.

Contact Information

	Dr John Harter Willis, MD
	110 Charlois Blvd, Winston Salem, NC 27103-1522
	(336) 768-3361
	(336) 659-2446

Map and Direction

Physician's Profile

Full Name	Dr John Harter Willis
Gender	Male
Speciality	Otolaryngology
Experience	14 Years
Location	110 Charlois Blvd, Winston Salem, North Carolina
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 John Harter Willis graduated from medical school in 2010

NPI Data:

NPI Number: 1982929741
Provider Enumeration Date: 04/05/2010
Last Update Date: 06/19/2023

Medicare PECOS Information:

PECOS PAC ID: 6103133467
Enrollment ID: I20150918000378

Medical Identifiers

Medical identifiers for Dr John Harter Willis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982929741	NPI	-	NPPES
PENDING	Other	NC	BCBSNC
PENDING	Other		UNITED HEALTHCARE
PENDING	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	01088365A (Indiana)	Secondary
207Y00000X	Otolaryngology	2015-00476 (North Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Piedmont Ear, Nose And Throat Associates, P.a.	4486617032	21

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 John Harter Willis allows following entities to bill medicare on his behalf.

Entity Name	Piedmont Ear, Nose & Throat Associates, P.a.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649216631 PECOS PAC ID: 4486617032 Enrollment ID: O20041105000049

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 John Harter 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 John Harter Willis, MD 110 Charlois Blvd, Winston Salem, NC 27103-1522 Ph: (336) 768-3361	Dr John Harter Willis, MD 110 Charlois Blvd, Winston Salem, NC 27103-1522 Ph: (336) 768-3361

Reviews and Comments

Otolaryngology Doctors in Winston Salem, NC

Ms. Kathleen Whitley Barber, PA-C Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 131 Miller St, Winston Salem, NC 27103 Phone: 336-716-4161 Fax: 336-716-5560
Dr. Eric Marshall Kraus, M.D, M.S, F.A.C.S. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: Wake Forest Baptist Medical Center Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-4161 Fax: 336-716-9440
Mr. Ronald Bernard Shealy, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 110 Charlois Blvd, Winston Salem, NC 27103 Phone: 336-768-3361 Fax: 336-768-4131
Dr. Lyndsay Leigh Madden, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-4161
William Cooper Scurry Jr., M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 110 Charlois Blvd, Winston Salem, NC 27103 Phone: 336-768-3361 Fax: 336-768-4131
Steven Wayne Galyon, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2391 Boone Ave, Winston Salem, NC 27103 Phone: 336-671-1107
Stephen C Wright Jr., MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 Fax: 336-716-9440

Dr John Harter Willis, MD - Medicare Otolaryngology in Winston Salem, NC