Gregory Willis, CRNA is a
Nurse Anesthetist, Certified Registered based in Lincoln, Illinois. Gregory Willis is licensed to practice in Illinois (license number 209-001819) and his current practice location is
200 Stahlhut Dr, Lincoln, Illinois. He can be reached at his office (for appointments etc.) via phone at
(217) 732-2161.
NPI number for Gregory Willis is 1740408475 and his current mailing address is 1015 State Route 121, Lincoln, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1740408475.
Provider's Profile
Full Name | Gregory Willis |
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Gender | Male |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 200 Stahlhut Dr, Lincoln, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1740408475
- Provider Enumeration Date: 04/20/2007
- Last Update Date: 03/30/2011
Medical Identifiers
Medical identifiers for Gregory Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740408475 | NPI | - | NPPES |
37699 | Other | IL | RECERTIFICATION OF CRNA |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | 209-001819 (Illinois) | Primary |
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. Gregory Willis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Gregory Willis, CRNA 1015 State Route 121, Lincoln, IL 62656-5355 Ph: (217) 792-3864 | Gregory Willis, CRNA 200 Stahlhut Dr, Lincoln, IL 62656-5066 Ph: (217) 732-2161 |
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