Israel Willis, | |
2015 Grand Concourse, Bronx, NY 10453 | |
(718) 299-7295 | |
Not Available |
Full Name | Israel Willis |
---|---|
Gender | Male |
Speciality | General Practice |
Location | 2015 Grand Concourse, Bronx, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932448701 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 268360-1 (New York) | Primary |
Entity Name | Prominis Medical Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841323771 PECOS PAC ID: 9537124441 Enrollment ID: O20041119000601 |
Entity Name | House Call Medical Services Of New York Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851345946 PECOS PAC ID: 2264517754 Enrollment ID: O20080307000427 |
Entity Name | Peyman Younesi Md Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891053328 PECOS PAC ID: 4981860202 Enrollment ID: O20120731000499 |
Entity Name | Ilm Medical Care Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023442035 PECOS PAC ID: 2769610989 Enrollment ID: O20140312001236 |
Entity Name | Essen Medical Urgicare, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841607298 PECOS PAC ID: 4385960897 Enrollment ID: O20150227000903 |
Entity Name | Clear Choice Medical Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285155499 PECOS PAC ID: 1759636491 Enrollment ID: O20180620001586 |
Mailing Address | Practice Location Address |
---|---|
Israel Willis, 3198 Grand Concourse, Bronx, NY 10458-1000 Ph: (718) 618-0401 | Israel Willis, 2015 Grand Concourse, Bronx, NY 10453 Ph: (718) 299-7295 |
Dr. Keith Fratta, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 226 W 238th St # A, Bronx, NY 10463 Phone: 718-601-3300 Fax: 718-601-0313 | |
Judith Brutus, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 2015 Grand Concourse, Bronx, NY 10453 Phone: 718-299-7295 Fax: 718-299-6797 | |
Dr. Akram Hamed Al Nababteh, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 2015 Grand Concourse, Bronx, NY 10453 Phone: 718-299-7295 Fax: 718-299-6797 | |
Dr. Ronald Lee Gross, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 3765 Riverdale Ave, Suite 5, Bronx, NY 10463 Phone: 718-601-2700 Fax: 718-601-6102 | |
Arpita Shah, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 5901 Palisade Ave, Bronx, NY 10471 Phone: 718-299-7295 Fax: 718-299-6797 | |
Chau Nguyen, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 1650 Grand Concourse, Bronx, NY 10457 Phone: 718-901-8203 Fax: 718-901-8704 | |
Amanur Mohammed Rahman, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 2015 Grand Concourse, Bronx, NY 10453 Phone: 718-299-7295 |