Dr Tony L Willson, MD - Medicare Family Medicine in St Johns, FL

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Dr Tony L Willson, MD is a medicare enrolled "Family Medicine" physician in St Johns, Florida. His current practice location is 1310 County Road 210 W, St Johns, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 824-4407.

Dr Tony L Willson is licensed to practice in Florida (license number ME97817) 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 1982798310.

Contact Information

Dr Tony L Willson, MD
1310 County Road 210 W,
St Johns, FL 32259-1183
(904) 824-4407
(904) 390-7459

Map and Direction




Physician's Profile

Full NameDr Tony L Willson
GenderMale
SpecialityFamily Medicine
Location1310 County Road 210 W, St Johns, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1982798310
  • Provider Enumeration Date: 10/02/2006
  • Last Update Date: 07/25/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6002956232
  • Enrollment ID: I20141020000915

Medical Identifiers

Medical identifiers for Dr Tony L Willson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982798310NPI-NPPES
65779827MedicaidCO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine DR.0052091 (Colorado)Secondary
207Q00000XFamily Medicine ME97817 (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 Tony L Willson allows following entities to bill medicare on his behalf.
Entity NameNew West Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427010859
PECOS PAC ID: 9537054614
Enrollment ID: O20040218000087
Entity NameOptumcare Colorado Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407252828
PECOS PAC ID: 2769706431
Enrollment ID: O20150129000413

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 Tony L Willson 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 Tony L Willson, MD
Po Box 746638,
Atlanta, GA 30374-6638

Ph: (904) 202-1032		Dr Tony L Willson, MD
1310 County Road 210 W,
St Johns, FL 32259-1183

Ph: (904) 824-4407

Reviews and Comments


Family Medicine Doctors in St Johns, FL

Nicole Alyson Mcclone, DPT
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3055 County Road 210 W Ste 110, St Johns, FL 32259
Phone: 904-825-0540    Fax: 904-825-2490
Thu Phuoc Anh Truong, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 550 Durbin Pavilion Dr Ste G101, St Johns, FL 32259
Phone: 904-770-2095    Fax: 904-390-7425
Kyle B Herring, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 550 Durbin Pavilion Dr Ste G101, St Johns, FL 32259
Phone: 904-770-2095    Fax: 904-390-7425

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.