Paula Marie Willis, LPN is a
Licensed Practical Nurse based in Ridgeland, South Carolina. Paula Marie Willis is licensed to practice in South Carolina (license number P15908) and her current practice location is
651 Grays Hwy, Ridgeland, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(843) 726-7788.
NPI number for Paula Marie Willis is 1609325166 and her current mailing address is 3516 Grays Hwy, Ridgeland, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1609325166.
Provider's Profile
| Full Name | Paula Marie Willis |
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| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 651 Grays Hwy, Ridgeland, South Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1609325166
- Provider Enumeration Date: 09/26/2016
- Last Update Date: 09/26/2016
Medical Identifiers
Medical identifiers for Paula Marie Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609325166 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | P15908 (South Carolina) | 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. Paula Marie 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 |
|---|
Paula Marie Willis, LPN
3516 Grays Hwy,
Ridgeland, SC 29936-4419
Ph: (843) 726-7788 | Paula Marie Willis, LPN
651 Grays Hwy,
Ridgeland, SC 29936-5488
Ph: (843) 726-7788 |
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