Dr Sean Dustin Willis, DO in Gainesville, FL

Dr Sean Dustin Willis, DO is a medicare enrolled "Surgery - Trauma Surgery" physician in Gainesville, Florida. His current practice location is 1600 Sw Archer Rd, Gainesville, Florida. You can reach out to his office (for appointments etc.) via phone at (352) 265-0535.

Dr Sean Dustin Willis is licensed to practice in Florida (license number OS20663) 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 1710484910.

Contact Information

	Dr Sean Dustin Willis, DO
	1600 Sw Archer Rd, Gainesville, FL 32610-2545
	(352) 265-0535
	(352) 627-4173

Map and Direction

Physician's Profile

Full Name	Dr Sean Dustin Willis
Gender	Male
Speciality	Surgery - Trauma Surgery
Location	1600 Sw Archer Rd, Gainesville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710484910
Provider Enumeration Date: 04/12/2018
Last Update Date: 02/23/2024

Medicare PECOS Information:

PECOS PAC ID: 3870931116
Enrollment ID: I20240404003046

Medical Identifiers

Medical identifiers for Dr Sean Dustin Willis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710484910	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0127X	Surgery - Trauma Surgery	OS20663 (Florida)	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 Sean Dustin Willis allows following entities to bill medicare on his behalf.

Entity Name	Florida Clinical Practice Association Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099

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 Sean Dustin 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 Sean Dustin Willis, DO Po Box 100108, Gainesville, FL 32610-0108 Ph: (352) 265-0535	Dr Sean Dustin Willis, DO 1600 Sw Archer Rd, Gainesville, FL 32610-2545 Ph: (352) 265-0535

Reviews and Comments

Surgery Doctors in Gainesville, FL

Afrasyab Khan, Surgery Medicare: Not Enrolled in Medicare Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0680
Anthony P Mcdonald, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-374-6078 Fax: 352-379-2428
Dr. Mirza Saleem-ul Islam, M.D., M.P.H. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, #100119, Gainesville, FL 32610 Phone: 352-392-3718 Fax: 352-392-9081
Dr. Richard Bradley Nesmith, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 6801 Nw 9th Blvd Ste 2, Gainesville, FL 32605 Phone: 352-331-3401
Miss Kimberly Chou, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2000 Sw 16th St Apt 9, Gainesville, FL 32608 Phone: 214-862-3821
Shadi Messiah, MD Surgery Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-8610 Fax: 352-273-8612
Dr. Steven Lawrence Raymond, MD Surgery Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd, Box 100287, Gainesville, FL 32610 Phone: 352-265-0916

Dr Sean Dustin Willis, DO - Medicare Surgery in Gainesville, FL