Kerry Allen Willis, MD is a medicare enrolled "Family Medicine" physician in Beaufort, North Carolina. His current practice location is
1620 Live Oak St, Suite C, Beaufort, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(252) 728-5737.
Kerry Allen Willis is licensed to practice in North Carolina (license number 30580) 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 1831176072.
Physician's Profile
| Full Name | Kerry Allen Willis |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 1620 Live Oak St, Beaufort, North Carolina |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kerry Allen Willis attended and graduated from in
NPI Data:
- NPI Number: 1831176072
- Provider Enumeration Date: 12/29/2005
- Last Update Date: 12/03/2013
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Kerry Allen Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831176072 | NPI | - | NPPES |
| 8988112 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 30580 (North Carolina) | Primary |
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. Kerry Allen 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 |
|---|
Kerry Allen Willis, MD
1620 Live Oak St, Suite C,
Beaufort, NC 28516
Ph: (252) 728-5737 | Kerry Allen Willis, MD
1620 Live Oak St, Suite C,
Beaufort, NC 28516
Ph: (252) 728-5737 |
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