Jason Willis, MD in Ardmore, OK - Medicare Internal Medicine

Jason Willis, MD is a medicare enrolled "Internal Medicine" physician in Ardmore, Oklahoma. His current practice location is 1101 12th Ave, Nw, Mercy Ardmore Hospital Wound Care Center, Ardmore, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (580) 220-6290.

Jason Willis is licensed to practice in Oklahoma (license number 29655) 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 1679603153.

Contact Information

	Jason Willis, MD
	1101 12th Ave, Nw, Mercy Ardmore Hospital Wound Care Center, Ardmore, OK 73401
	(580) 220-6290
	Not Available

Map and Direction

Physician's Profile

Full Name	Jason Willis
Gender	Male
Speciality	Internal Medicine
Location	1101 12th Ave, Nw, Ardmore, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679603153
Provider Enumeration Date: 03/06/2007
Last Update Date: 10/19/2015

Medicare PECOS Information:

PECOS PAC ID: 8921043019
Enrollment ID: I20090904000467

Medical Identifiers

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

Identifier	Type	State	Issuer
1679603153	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	29655 (Oklahoma)	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. Jason Willis allows following entities to bill medicare on his behalf.

Entity Name	State Of Montana
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356351183 PECOS PAC ID: 3870499676 Enrollment ID: O20031211000579

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. Jason 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
Jason Willis, MD Po Box 848371, Boston, MA 02284-8371 Ph: (580) 920-9000	Jason Willis, MD 1101 12th Ave, Nw, Mercy Ardmore Hospital Wound Care Center, Ardmore, OK 73401 Ph: (580) 220-6290

Reviews and Comments

Internal Medicine Doctors in Ardmore, OK

Alexander P. Gurrola, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 812 12th Ave Nw, Ardmore, OK 73401 Phone: 580-226-6500 Fax: 580-226-6524
Carson Shearer, D.O. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 20 12th Ave Nw, Ardmore, OK 73401 Phone: 580-223-3411 Fax: 580-226-6213
Dr. Thomas A Papin, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 20 12th Ave Nw, Ardmore, OK 73401 Phone: 580-223-3411 Fax: 580-226-6213
Asif Iqbal, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1011 14th Ave Nw, Ardmore, OK 73401 Phone: 580-220-6132 Fax: 580-220-6772
Toribio C Velasquez, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 921 14th Ave Nw, Ardmore, OK 73401 Phone: 580-223-5311 Fax: 580-223-8227
Adil Karim, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1011 14th Ave Nw, Ardmore, OK 73401 Phone: 580-220-6132 Fax: 580-220-6772
Dr. Bruce Stewart Gilmore, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1015 S Commerce St, Ardmore, OK 73401 Phone: 580-223-2266 Fax: 580-221-5690

Jason Willis, MD - Medicare Internal Medicine in Ardmore, OK