Dr Theresa C Willis, MD in Fort Sam Houston, TX

Dr Theresa C Willis, MD is a medicare enrolled "Pediatrics" physician in Fort Sam Houston, Texas. Her current practice location is 3551 Roger Brooke Dr, Fort Sam Houston, Texas. You can reach out to her office (for appointments etc.) via phone at (210) 539-9582.

Dr Theresa C Willis is licensed to practice in Texas (license number N9147) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1912295973.

Contact Information

	Dr Theresa C Willis, MD
	3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504
	(210) 539-9582
	(210) 698-7696

Map and Direction

Physician's Profile

Full Name	Dr Theresa C Willis
Gender	Female
Speciality	Pediatrics
Location	3551 Roger Brooke Dr, Fort Sam Houston, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912295973
Provider Enumeration Date: 07/12/2011
Last Update Date: 01/13/2021

Medicare PECOS Information:

PECOS PAC ID: 8921234519
Enrollment ID: I20131204002160

Medical Identifiers

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

Identifier	Type	State	Issuer
1912295973	NPI	-	NPPES
327006801	Medicaid	TX
327006802	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	N9147 (Texas)	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 Theresa C Willis allows following entities to bill medicare on her behalf.

Entity Name	The Austin Diagnostic Clinic, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003259763 PECOS PAC ID: 1254244551 Enrollment ID: O20031112000236

Entity Name	Christus Pediatric Physician Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346652575 PECOS PAC ID: 3870860935 Enrollment ID: O20170522002029

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 Theresa 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 Theresa C Willis, MD 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 Ph: (210) 539-9582	Dr Theresa C Willis, MD 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 Ph: (210) 539-9582

Reviews and Comments

Pediatrics Doctors in Fort Sam Houston, TX

Dr. Thornton Samuel Mu, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Mche-qd (creds), Fort Sam Houston, TX 78234 Phone: 210-916-0707
Katherine Darby Dobbins, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-3230
Dr. Candace Suzanne Staubitz Percival, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-216-3020
Courtney Anne Judd, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-2834
Dr. Michael A Pelzner, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582
Dr. Matthew William Springer, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582
Dr. Robert Kurt Gillette, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Bamc -- Mche-qd (creds), Fort Sam Houston, TX 78234 Phone: 210-916-3249

Dr Theresa C Willis, MD - Medicare Pediatrics in Fort Sam Houston, TX