Park Weed Willis, MD - Medicare Family Practice in Salt Lake City, UT

Park Weed Willis, MD is a medicare enrolled "Family Medicine" physician in Salt Lake City, Utah. He went to Oregon Health Sciences University School Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Intermountain Healthcare Services, Inc and his current practice location is 389 S 900 E, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (385) 282-2400.

Park Weed Willis is licensed to practice in Utah (license number 8471563-1205) 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 1083907679.

Contact Information

Park Weed Willis, MD
389 S 900 E,
Salt Lake City, UT 84102
(385) 282-2400
(385) 282-2401

Map and Direction




Physician's Profile

Full NamePark Weed Willis
GenderMale
SpecialityFamily Practice
Experience13 Years
Location389 S 900 E, Salt Lake City, Utah
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Park Weed Willis attended and graduated from Oregon Health Sciences University School Of Medicine in 2011
  NPI Data:
  • NPI Number: 1083907679
  • Provider Enumeration Date: 05/16/2011
  • Last Update Date: 07/23/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 7416193131
  • Enrollment ID: I20131021001987

Medical Identifiers

Medical identifiers for Park Weed Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083907679NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 8471563-1205 (Utah)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Intermountain Healthcare Services, Inc18502094203228

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. Park Weed Willis allows following entities to bill medicare on his behalf.
Entity NameIhc Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942325154
PECOS PAC ID: 1850209420
Enrollment ID: O20080610000303

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. Park Weed 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 AddressPractice Location Address
Park Weed Willis, MD
Po Box 27128,
Salt Lake City, UT 84127-0128

Ph: () -
Park Weed Willis, MD
389 S 900 E,
Salt Lake City, UT 84102

Ph: (385) 282-2400

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.