Rudolph E Willis, MD | |
355 Crawford St, Ste 300, Portsmouth, VA 23704-2819 | |
(757) 396-6333 | |
(757) 396-6367 |
Full Name | Rudolph E Willis |
---|---|
Gender | Male |
Speciality | Hospice/palliative Care |
Experience | 47 Years |
Location | 355 Crawford St, Portsmouth, Virginia |
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 |
---|---|---|---|
1831194216 | NPI | - | NPPES |
89067J2 | Other | NC | NC MEDICAID |
P00013926 | Other | VA | RAILROAD MEDICARE |
437204 | Other | VA | ANTHEM BCBS |
59557 | Other | VA | OPTIMA HEALTH PLAN |
374935 | Other | VA | MAMSI/MDIPA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RH0003X | Internal Medicine - Hematology & Oncology | 0101233411 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Umd Rehabilitation & Orthopaedic Institute | Baltimore, MD | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mdics At Umroi, Llc | 9638478019 | 21 |
Entity Name | Mdics At Umroi, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588023667 PECOS PAC ID: 9638478019 Enrollment ID: O20160506000794 |
Mailing Address | Practice Location Address |
---|---|
Rudolph E Willis, MD 355 Crawford St, Ste 300, Portsmouth, VA 23704-2819 Ph: (757) 396-6333 | Rudolph E Willis, MD 355 Crawford St, Ste 300, Portsmouth, VA 23704-2819 Ph: (757) 396-6333 |
Dr. Imtiaz Zaman, MD Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 805 Rodman Ave, Portsmouth, VA 23707 Phone: 757-399-1970 Fax: 757-436-3460 | |
Dr. Sally G Tamayo, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-9804 Fax: 757-953-0811 | |
Dr. Stephen Alexander Koplin, M.D. Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-5000 | |
Tyler Church, D.O. Hematology & Oncology Medicare: Medicare Enrolled Practice Location: Nmrtc, Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708 Phone: 757-953-2266 | |
Dr. Robert J. Accettola, M.D. Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 3737 High St, Portsmouth, VA 23707 Phone: 757-686-9400 Fax: 757-686-9449 | |
Dr. Varea Costello, DO, MPH Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-3647 | |
Guenola Hunt, MD Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-1051 Fax: 757-953-1036 |