Ted S Willis, MD in Eden Prairie, MN - Medicare Diagnostic Radiology

Ted S Willis, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Eden Prairie, Minnesota. He graduated from medical school in 1986 and has 38 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice University Of Texas Health Science Center At Tyler-facility-physician, Virtual Radiologic Professionals Of Texas I, Pa, Houlton Regional Hospital and his current practice location is 11995 Singletree Ln Ste 500, Eden Prairie, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 595-1301.

Ted S Willis is licensed to practice in Texas (license number H2908) 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 1548236235.

Contact Information

	Ted S Willis, MD
	11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349
	(952) 595-1301
	(612) 294-4903

Map and Direction

Physician's Profile

Full Name	Ted S Willis
Gender	Male
Speciality	Diagnostic Radiology
Experience	38 Years
Location	11995 Singletree Ln Ste 500, Eden Prairie, Minnesota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ted S Willis graduated from medical school in 1986

NPI Data:

NPI Number: 1548236235
Provider Enumeration Date: 02/23/2006
Last Update Date: 07/11/2022

Medicare PECOS Information:

PECOS PAC ID: 0143287896
Enrollment ID: I20091027000899

Medical Identifiers

Medical identifiers for Ted S Willis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548236235	NPI	-	NPPES
134481406	Medicaid	TX
TIN PLUS113	Other	TX	TRICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	H2908 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
The University Of Texas Health Science Center At Tyler	Tyler, TX	Hospital
Cox Medical Centers	Springfield, MO	Hospital
Calais Regional Hospital	Calais, ME	Hospital
Cox Medical Center Branson	Branson, MO	Hospital
St Lukes Regional Medical Center	Sioux city, IA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Texas Health Science Center At Tyler-facility-physician	4981699220	95
Virtual Radiologic Professionals Of Texas I, Pa	6204838766	33
Houlton Regional Hospital	0042127946	27

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. Ted S Willis allows following entities to bill medicare on his behalf.

Entity Name	University Of Texas Health Science Center At Tyler-facility-physician
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063400778 PECOS PAC ID: 4981699220 Enrollment ID: O20040416001048

Entity Name	Virtual Radiologic Professionals Of Texas I, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184725228 PECOS PAC ID: 6204838766 Enrollment ID: O20070213000111

Entity Name	Radiology Alliance Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861478489 PECOS PAC ID: 1850280470 Enrollment ID: O20161122000313

Entity Name	Palm Desert Radiology Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124079868 PECOS PAC ID: 0749173789 Enrollment ID: O20190315001958

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. Ted S 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
Ted S Willis, MD 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 Ph: (952) 595-1301	Ted S Willis, MD 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 Ph: (952) 595-1301

Reviews and Comments

Radiology Doctors in Eden Prairie, MN

Norna L. Karp, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903
Christopher Calixte, MD Radiology Medicare: Medicare Enrolled Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903
Paul D Guisler, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903
Rati N Patel, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903
Jacob Gebrael, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903
Susanne S. Kim, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903
Gwendolyn Durgin, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903

Ted S Willis, MD - Medicare Diagnostic Radiology in Eden Prairie, MN