Dr Mark L Willis, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Dothan, Alabama. His current practice location is
208 Haven Dr, Southeast Pain Mgmt Center, Dothan, Alabama. You can reach out to his office (for appointments etc.) via phone at
(334) 793-8196.
Dr Mark L Willis is licensed to practice in Alabama (license number 00025952) 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 1740269612.
Physician's Profile
Full Name | Dr Mark L Willis |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 208 Haven Dr, Dothan, Alabama |
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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 Mark L Willis attended and graduated from in
NPI Data:
- NPI Number: 1740269612
- Provider Enumeration Date: 01/10/2006
- Last Update Date: 05/11/2017
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Mark L Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740269612 | NPI | - | NPPES |
622443016A | Other | GA | MEDICAID |
51521334 | Other | | BCBS OF AL |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | 00025952 (Alabama) | Secondary |
207LP2900X | Anesthesiology - Pain Medicine | 00025952 (Alabama) | Secondary |
208VP0014X | Pain Medicine - Interventional Pain Medicine | 00025952 (Alabama) | 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 Mark L 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 Mark L Willis, MD 1108 Ross Clark Circle, Southeast Pain Mgmt Center, Dothan, AL 36301 Ph: (334) 793-8196 | Dr Mark L Willis, MD 208 Haven Dr, Southeast Pain Mgmt Center, Dothan, AL 36301-2909 Ph: (334) 793-8196 |
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