Samuel Vaughan Hanson Willis, MD in Saint Paul, MN

Samuel Vaughan Hanson Willis, MD is a medicare enrolled "Family Medicine" physician in Saint Paul, Minnesota. His current practice location is 2155 Ford Pkwy, Saint Paul, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 696-5000.

Samuel Vaughan Hanson Willis is licensed to practice in Minnesota (license number 49888) 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 1467644757.

Contact Information

	Samuel Vaughan Hanson Willis, MD
	2155 Ford Pkwy, Saint Paul, MN 55116-1862
	(651) 696-5000
	(651) 696-5001

Map and Direction

Physician's Profile

Full Name	Samuel Vaughan Hanson Willis
Gender	Male
Speciality	Family Medicine
Location	2155 Ford Pkwy, Saint Paul, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467644757
Provider Enumeration Date: 08/10/2007
Last Update Date: 03/11/2021

Medicare PECOS Information:

PECOS PAC ID: 6507952892
Enrollment ID: I20071018000086

Medical Identifiers

Medical identifiers for Samuel Vaughan Hanson Willis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467644757	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	49888 (Minnesota)	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. Samuel Vaughan Hanson Willis allows following entities to bill medicare on his behalf.

Entity Name	Fairview Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461

Entity Name	Fairview Clinics
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516

Entity Name	Allina Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460

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. Samuel Vaughan Hanson 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
Samuel Vaughan Hanson Willis, MD 2155 Ford Pkwy, Saint Paul, MN 55116-1862 Ph: (651) 696-5000	Samuel Vaughan Hanson Willis, MD 2155 Ford Pkwy, Saint Paul, MN 55116-1862 Ph: (651) 696-5000

Reviews and Comments

Family Medicine Doctors in Saint Paul, MN

Huiying Guo, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 Wabasha St S, Saint Paul, MN 55107 Phone: 952-967-5584
Sana Zekri, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 580 Rice St, Saint Paul, MN 55103 Phone: 651-982-7618
David Alan Ness, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 721 Snelling Ave S, Saint Paul, MN 55116 Phone: 651-690-1311 Fax: 651-690-2447
Patrick N Arnold, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 234 Wentworth Ave E, Saint Paul, MN 55118 Phone: 651-455-2940 Fax: 651-455-3354
Laurel Ries, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 980 Rice St, Saint Paul, MN 55117 Phone: 651-326-9020 Fax: 651-326-9021
Dr. Stephanie Dawnonnerate Stanton, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 Como Ave, Saint Paul, MN 55108 Phone: 952-853-8800
Ravi Balasubrahmanyan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 333 Smith Ave N Ste 4640, Saint Paul, MN 55102 Phone: 651-241-1001 Fax: 651-241-1116

Samuel Vaughan Hanson Willis, MD - Medicare Family Medicine in Saint Paul, MN