Jared Willis, - Medicare Emergency Medicine in Fort Worth, TX

Jared Willis, is a medicare enrolled "Emergency Medicine" physician in Fort Worth, Texas. He went to University Of Alabama School Of Medicine and graduated in 2018 and has 6 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Cfvhs Ed Physicians and his current practice location is 1500 S Main St, Fort Worth, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 702-1173.

Jared Willis is licensed to practice in North Carolina (license number 2021-01659) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1316441504.

Contact Information

Jared Willis,
1500 S Main St,
Fort Worth, TX 76104-4917
(817) 702-1173
Not Available

Map and Direction




Physician's Profile

Full NameJared Willis
GenderMale
SpecialityEmergency Medicine
Experience6 Years
Location1500 S Main St, Fort Worth, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jared Willis attended and graduated from University Of Alabama School Of Medicine in 2018
  NPI Data:
  • NPI Number: 1316441504
  • Provider Enumeration Date: 03/21/2018
  • Last Update Date: 08/19/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8527463801
  • Enrollment ID: I20210825000863

Medical Identifiers

Medical identifiers for Jared Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316441504NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 2021-01659 (North Carolina)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Cape Fear Valley Medical CenterFayetteville, NCHospital
Betsy Johnson Regional HospitalDunn, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cfvhs Ed Physicians296131623727

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. Jared Willis allows following entities to bill medicare on his behalf.
Entity NameCfvhs Ed Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215931589
PECOS PAC ID: 2961316237
Enrollment ID: O20031119000605
Entity NameEmergency Coverage Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427005008
PECOS PAC ID: 3072412592
Enrollment ID: O20100202000365

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. Jared Willis 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
Jared Willis,
1500 S Main St,
Fort Worth, TX 76104-4917

Ph: (817) 702-1173
Jared Willis,
1500 S Main St,
Fort Worth, TX 76104-4917

Ph: (817) 702-1173

Reviews and Comments


Emergency Medicine Doctors in Fort Worth, TX

Anna Burns Schroeder, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 6451 Brentwood Stair Rd, Suite 202, Fort Worth, TX 76112
Phone: 713-858-4684    
Joey Mayor, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1400 8th Ave, Fort Worth, TX 76104
Phone: 214-712-2074    Fax: 214-712-2444
Don Stewart Harper, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6451 Brentwood Stair Rd, Suite 200, Fort Worth, TX 76112
Phone: 817-507-1770    Fax: 817-507-1771
Dr. Britton Michael Devillier, M.D., M.P.H.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 801 7th Ave, Fort Worth, TX 76104
Phone: 682-885-4095    Fax: 682-885-7499
Lacey A Mcdaniel, PA-C
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7001 Granbury Rd, Fort Worth, TX 76133
Phone: 817-346-1925    Fax: 817-292-7237
Dr. Rafael Andres Raya, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 3101 N Tarrant Pkwy, Fort Worth, TX 76177
Phone: 817-639-1000    
Mr. Karim S Jamal, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 11801 S. Freeway, Fort Worth, TX 76134
Phone: 817-293-9110    

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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