William Arthur Willis, MD | |
708 W Forest Ave, Jackson, TN 38301 | |
(731) 660-8759 | |
Not Available |
Full Name | William Arthur Willis |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 708 W Forest Ave, Jackson, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518946946 | NPI | - | NPPES |
3800078 | Medicaid | TN | |
3069642 | Other | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MD26833 (Tennessee) | Secondary |
207Q00000X | Family Medicine | 1029454331 (Tennessee) | Primary |
Entity Name | Emergency Medical Care Facilities Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538345855 PECOS PAC ID: 6103837877 Enrollment ID: O20060509000565 |
Entity Name | Hardin Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972850477 PECOS PAC ID: 2769633148 Enrollment ID: O20121112000554 |
Entity Name | Faith Family Medical Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003302951 PECOS PAC ID: 6800131210 Enrollment ID: O20181212003094 |
Mailing Address | Practice Location Address |
---|---|
William Arthur Willis, MD 1804 Highway 45 Byp, Suite 604, Jackson, TN 38305-4436 Ph: (731) 660-8759 | William Arthur Willis, MD 708 W Forest Ave, Jackson, TN 38301 Ph: (731) 660-8759 |
Parker Panovec, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2859 Highway 45 Byp, Jackson, TN 38305 Phone: 731-660-8360 Fax: 731-664-7928 | |
Michael James Martin, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 294 Summar Dr, Jackson, TN 38301 Phone: 731-423-1932 Fax: 731-410-0367 | |
Melissa A Robbins, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 294 Summar Drive, Jackson, TN 38301 Phone: 731-423-1932 Fax: 731-423-4919 | |
Dr. Ezekiel Oladejo Adetunji, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 150 Murray Guard Dr, Jackson, TN 38305 Phone: 731-300-3168 Fax: 731-300-3169 | |
Kenneth R. Warren, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 31 Physicians Dr, Suite 1, Jackson, TN 38305 Phone: 731-664-0103 Fax: 731-664-5666 | |
Anna Elizabeth Glass Burgess, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2863 Highway 45 Byp, Jackson, TN 38305 Phone: 731-664-1375 Fax: 731-664-1378 | |
Christopher Reyes Caangay, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 294 Summar Dr, Jackson, TN 38301 Phone: 731-541-3755 |