Willard Davis Iii, DO - Medicare Emergency Medicine in Chicago, IL

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Willard Davis Iii, DO is a medicare enrolled "Emergency Medicine" physician in Chicago, Illinois. His current practice location is 5645 W Addison St, Our Lady Of The Resurrection Hospital, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (773) 282-7000.

Willard Davis Iii is licensed to practice in Illinois (license number 036112903) 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 1851371918.

Contact Information

Willard Davis Iii, DO
5645 W Addison St, Our Lady Of The Resurrection Hospital,
Chicago, IL 60634-4403
(773) 282-7000
Not Available

Map and Direction




Physician's Profile

Full NameWillard Davis Iii
GenderMale
SpecialityEmergency Medicine
Location5645 W Addison St, Chicago, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1851371918
  • Provider Enumeration Date: 01/17/2006
  • Last Update Date: 05/29/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 1557383700
  • Enrollment ID: I20070124000226

Medical Identifiers

Medical identifiers for Willard Davis Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851371918NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 036112903 (Illinois)Primary
207P00000XEmergency Medicine M4024 (Texas)Secondary

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. Willard Davis Iii allows following entities to bill medicare on his behalf.
Entity NameAcs Primary Care Physicians Southwest Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538101019
PECOS PAC ID: 1850204363
Enrollment ID: O20041206000027
Entity NameLonghorn Emergency Medical Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649669672
PECOS PAC ID: 4486971041
Enrollment ID: O20150320000152
Entity NameEmergency Associates Of Central Texas Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215418280
PECOS PAC ID: 6800147216
Enrollment ID: O20180925001294
Entity NameRound Table Physicians Group Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023439114
PECOS PAC ID: 0547682460
Enrollment ID: O20200623002513
Entity NameNes Southwest Medical Services Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093487449
PECOS PAC ID: 9234520800
Enrollment ID: O20211216001478

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. Willard Davis Iii 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
Willard Davis Iii, DO
933 W Van Buren St Apt 716,
Chicago, IL 60607-3595

Ph: (312) 498-1195		Willard Davis Iii, DO
5645 W Addison St, Our Lady Of The Resurrection Hospital,
Chicago, IL 60634-4403

Ph: (773) 282-7000

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.

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