Wayne S Willis, MD | |
3111 Peggy Bond Dr, Pensacola, FL 32504-5018 | |
(850) 438-9755 | |
(850) 438-0699 |
Full Name | Wayne S Willis |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 3111 Peggy Bond Dr, Pensacola, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003880667 | NPI | - | NPPES |
17364 | Other | FL | BLUE CROSS BLUE SHIELD |
591-83896 | Other | AL | BLUE CROSS BLUE SHIELD |
069681100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME25944 (Florida) | Primary |
Entity Name | Florida Department Of Health |
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Entity Type | Part B Supplier - Public Health/welfare Agency |
Entity Identifiers | NPI Number: 1295763712 PECOS PAC ID: 3072424282 Enrollment ID: O20080906000207 |
Mailing Address | Practice Location Address |
---|---|
Wayne S Willis, MD 3111 Peggy Bond Dr, Pensacola, FL 32504-5018 Ph: (850) 438-9755 | Wayne S Willis, MD 3111 Peggy Bond Dr, Pensacola, FL 32504-5018 Ph: (850) 438-9755 |
Dr. Kyle Harvey, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 220 Hovey Rd, Pensacola, FL 32508 Phone: 770-396-3898 | |
Alisha Dalila Carter, NP-BC Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 45 Industrial Blvd Ste C, Pensacola, FL 32503 Phone: 850-290-8410 Fax: 866-574-6391 | |
Mr. David R Smith, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 321 S Fairfield Dr, Pensacola, FL 32506 Phone: 850-458-4200 Fax: 850-456-7222 | |
Dr. Roberta Beals, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 161 E Nine Mile Rd, Pensacola, FL 32534 Phone: 850-696-4000 Fax: 850-434-2647 | |
Mr. Christopher H Rush, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 321 S Fairfield Dr, Pensacola, FL 32506 Phone: 850-474-8546 Fax: 850-456-7222 | |
Dr. Eric John Kujawski, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4541 N Davis Hwy Ste A, Pensacola, FL 32503 Phone: 850-494-9000 |