Jeff R Willis, MD | |
1930 W Broadway St Ste A, Missoula, MT 59808-1960 | |
(406) 541-6844 | |
(406) 541-6843 |
Full Name | Jeff R Willis |
---|---|
Gender | Male |
Speciality | Gastroenterology |
Experience | 34 Years |
Location | 1930 W Broadway St Ste A, Missoula, Montana |
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 |
---|---|---|---|
1356385991 | NPI | - | NPPES |
15750 | Other | VA | OPTIMA |
327082 | Other | VA | ANTHEM |
100012482 | Other | VA | MEDICARE RR |
1659563799 | Other | VA | GROUP NPI |
5426240 | Other | VA | AETNA |
8905530 | Medicaid | NC | |
5825041 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 56022 (Montana) | Primary |
207RG0100X | Internal Medicine - Gastroenterology | 0101059226 (Virginia) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
St. Patrick Hospital | Missoula, MT | Hospital |
Community Medical Center | Missoula, MT | Hospital |
Clark Fork Valley Hospital | Plains, MT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Montana Gastroenterology, Pllc | 7618396318 | 13 |
Entity Name | Montana Gastroenterology, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821612946 PECOS PAC ID: 7618396318 Enrollment ID: O20200930000358 |
Mailing Address | Practice Location Address |
---|---|
Jeff R Willis, MD 1930 W Broadway St Ste A, Missoula, MT 59808-1960 Ph: (406) 541-6844 | Jeff R Willis, MD 1930 W Broadway St Ste A, Missoula, MT 59808-1960 Ph: (406) 541-6844 |
Mr. George Bandow, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 500 W Broadway St Ste 320, Missoula, MT 59802 Phone: 406-329-5615 | |
Simone Musco, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 500 W Broadway St, Ste 320, Missoula, MT 59802 Phone: 406-329-5615 | |
Rolf H O Holle, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 1782 Elison Ln Unit 3, Missoula, MT 59802 Phone: 406-544-1871 | |
John David Anthony Lakatua, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 500 West Broadway, Missoula, MT 59802 Phone: 406-721-5600 Fax: 406-721-3907 | |
Mr. Curtis G Wickre, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 500 W Broadway St, 4th Floor, Missoula, MT 59802 Phone: 406-327-1900 | |
Dr. Charlotte Nelson, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 500 W Broadway St, Missoula, MT 59802 Phone: 406-327-1613 | |
Annie C. Dong, M.D., M.P.H. Gastroenterology Medicare: Medicare Enrolled Practice Location: 2827 Fort Missoula Rd Bldg 5, Missoula, MT 59804 Phone: 406-327-4646 Fax: 406-327-4649 |