John Willis, is a
Community Health Worker based in Ashland, Kentucky. John Willis is licensed to practice in * (Not Available) (license number ) and his current practice location is
1212 Bath Ave, Alert, Ashland, Kentucky. He can be reached at his office (for appointments etc.) via phone at
(606) 329-8588.
NPI number for John Willis is 1679781470 and his current mailing address is Po Box 790, Ashland, Kentucky. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1679781470.
Healthcare Provider's Profile
Full Name | John Willis |
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Gender | Male |
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Speciality | Community Health Worker |
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Location | 1212 Bath Ave, Ashland, Kentucky |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1679781470
- Provider Enumeration Date: 05/18/2007
- Last Update Date: 07/15/2020
Medical Identifiers
Medical identifiers for John Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679781470 | NPI | - | NPPES |
33900168 | Medicaid | KY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
172V00000X | Community Health Worker | (* (Not Available)) | 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. John 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 |
John Willis, Po Box 790, Ashland, KY 41105-0790 Ph: (606) 329-8588 | John Willis, 1212 Bath Ave, Alert, Ashland, KY 41101-2696 Ph: (606) 329-8588 |
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