Edward R Willis Jr, MD is a medicare enrolled "Otolaryngology" physician in Bay St Louis, Mississippi. His current practice location is
100 Drinkwater Rd, Bay St Louis, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(228) 467-5121.
Edward R Willis Jr is licensed to practice in Mississippi (license number 10751) 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 1497794259.
Physician's Profile
Full Name | Edward R Willis Jr |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 100 Drinkwater Rd, Bay St Louis, Mississippi |
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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:
- Edward R Willis Jr attended and graduated from in
NPI Data:
- NPI Number: 1497794259
- Provider Enumeration Date: 06/06/2006
- Last Update Date: 05/30/2019
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Edward R Willis Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497794259 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Y00000X | Otolaryngology | 41094 (Tennessee) | Secondary |
207Y00000X | Otolaryngology | 10751 (Mississippi) | 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. Edward R Willis Jr 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 |
Edward R Willis Jr, MD Po Box 2697, Bay St Louis, MS 39521-2697 Ph: (228) 467-5121 | Edward R Willis Jr, MD 100 Drinkwater Rd, Bay St Louis, MS 39520-1614 Ph: (228) 467-5121 |
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