Gregory S Willis, MD | |
6489 Sw Borland Rd, Tualatin, OR 97062-9798 | |
(503) 692-4843 | |
(503) 692-6543 |
Full Name | Gregory S Willis |
---|---|
Gender | Male |
Speciality | Radiation Oncology |
Experience | 25 Years |
Location | 6489 Sw Borland Rd, Tualatin, Oregon |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417941600 | NPI | - | NPPES |
033138015 | Other | OR | REGENCE BCBS |
140838 | Other | OR | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | MD28019 (Oregon) | Primary |
2471R0002X | Radiologic Technologist - Radiation Therapy | MD28019 (Oregon) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Medical Center | Las cruces, NM | Hospital |
Mountain View Regional Medical Center | Las cruces, NM | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Phc-las Cruces Inc | 4486635802 | 20 |
Entity Name | Phc-las Cruces Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164445136 PECOS PAC ID: 4486635802 Enrollment ID: O20040624000297 |
Mailing Address | Practice Location Address |
---|---|
Gregory S Willis, MD 6489 Sw Borland Rd, Tualatin, OR 97062-9798 Ph: (503) 692-4843 | Gregory S Willis, MD 6489 Sw Borland Rd, Tualatin, OR 97062-9798 Ph: (503) 692-4843 |
Dr. Matthew Michael Treinen, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 19300 Sw 65th Ave, Tualatin, OR 97062 Phone: 503-692-1212 Fax: 503-692-5307 | |
Dr. Marcus Paul Carr, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 19300 Sw 65th Ave, Tualatin, OR 97062 Phone: 503-692-1212 | |
Brian Robert Mahon, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 19300 Sw 65th, Legacy Meridian Park Hospital, Tualatin, OR 97062 Phone: 503-692-5737 Fax: 503-692-5307 | |
Joseph Marquardt, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 19300 Sw 65th Ave, Tualatin, OR 97062 Phone: 503-692-1212 | |
David Wesley Nelson Jr., MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 19300 Sw 65th, Legacy Meridian Park Hospital, Tualatin, OR 97062 Phone: 503-692-5737 Fax: 503-692-5307 | |
Timothy David Kadlecek, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 19300 Sw 65th, Legacy Meridian Park Hospital, Tualatin, OR 97062 Phone: 503-692-5737 Fax: 503-692-5307 |