Fred S Willis, MD in Shreveport, LA - Medicare Emergency Medicine

Fred S Willis, MD is a medicare enrolled "Emergency Medicine" physician in Shreveport, Louisiana. He went to Louisiana State University School Of Medicine In Shreveport and graduated in 1988 and has 36 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Council For Advancement Of Social Service And Education and his current practice location is 2600 Greenwood Rd, Shreveport, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 212-4500.

Fred S Willis is licensed to practice in Louisiana (license number 020188) 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 1235131665.

Contact Information

	Fred S Willis, MD
	2600 Greenwood Rd, Shreveport, LA 71103-3908
	(318) 212-4500
	(318) 212-4143

Map and Direction

Physician's Profile

Full Name	Fred S Willis
Gender	Male
Speciality	Emergency Medicine
Experience	36 Years
Location	2600 Greenwood Rd, Shreveport, Louisiana
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:

Fred S Willis attended and graduated from Louisiana State University School Of Medicine In Shreveport in 1988

NPI Data:

NPI Number: 1235131665
Provider Enumeration Date: 08/15/2005
Last Update Date: 06/04/2014

Medicare PECOS Information:

PECOS PAC ID: 8022068832
Enrollment ID: I20050129000111

Medical Identifiers

Medical identifiers for Fred S Willis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235131665	NPI	-	NPPES
1390780	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	020188 (Louisiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Council For Advancement Of Social Service And Education	8022043710	8

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. Fred S Willis allows following entities to bill medicare on his behalf.

Entity Name	Council For Advancement Of Social Service And Education
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285942284 PECOS PAC ID: 8022043710 Enrollment ID: O20051129000114

Entity Name	North Oaks Medical Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972630705 PECOS PAC ID: 2466629522 Enrollment ID: O20120117000359

Entity Name	Act One Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609543701 PECOS PAC ID: 9436556974 Enrollment ID: O20210924002676

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. Fred S 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
Fred S Willis, MD Po Box 32600, Shreveport, LA 71130-2600 Ph: (318) 212-4877	Fred S Willis, MD 2600 Greenwood Rd, Shreveport, LA 71103-3908 Ph: (318) 212-4500

Reviews and Comments

Emergency Medicine Doctors in Shreveport, LA

David James Caltrider, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Highway, Emergency Medicine, Shreveport, LA 71130 Phone: 318-626-2326
Hunter Rennie, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-1034
Dr. Craig Florea, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenwood Rd, Shreveport, LA 71103 Phone: 318-212-4500
Dr. Lacey Whited, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Hwy, Department Of Emergency Medicine, Shreveport, LA 71103 Phone: 318-675-6885 Fax: 318-675-6878
Roy Brandhurst, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8001 Youree Dr, Shreveport, LA 71115 Phone: 318-212-3500 Fax: 318-212-3505
Joseph William Yarbrough Jr., DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Highway, Emergency Medicine, Shreveport, LA 71130 Phone: 318-626-1034
Brett Horn, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1501 Kings Hwy, Department Of Emergency Medicine, Shreveport, LA 71103 Phone: 318-675-7261 Fax: 318-675-6878

Fred S Willis, MD - Medicare Emergency Medicine in Shreveport, LA