Dr Elliot R Willis-orlando, DDS in Everett, WA

Dr Elliot R Willis-orlando, DDS is a medicare enrolled "Dentist - General Practice" provider in Everett, Washington. His current practice location is 4201 Rucker Ave, Everett, Washington. You can reach out to his office (for appointments etc.) via phone at (425) 789-3789.

Dr Elliot R Willis-orlando is licensed to practice in Washington (license number DE61629885) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1164288684.

Contact Information

	Dr Elliot R Willis-orlando, DDS
	4201 Rucker Ave, Everett, WA 98203-2215
	(425) 789-3789
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Elliot R Willis-orlando
Gender	Male
Speciality	Dentist - General Practice
Location	4201 Rucker Ave, Everett, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164288684
Provider Enumeration Date: 02/22/2024
Last Update Date: 04/01/2025

Medicare PECOS Information:

PECOS PAC ID: 6800334145
Enrollment ID: I20240816002921

Medical Identifiers

Medical identifiers for Dr Elliot R Willis-orlando such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164288684	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	DT-3183 (Hawaii)	Secondary
1223G0001X	Dentist - General Practice	DE61629885 (Washington)	Primary

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. Dr Elliot R Willis-orlando allows following entities to bill medicare on his behalf.

Entity Name	Hoola Lahui Hawaii
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245269976 PECOS PAC ID: 2860303021 Enrollment ID: O20031226000260

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. Dr Elliot R Willis-orlando 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 Address	Practice Location Address
Dr Elliot R Willis-orlando, DDS 4201 Rucker Ave, Everett, WA 98203-2215 Ph: (425) 789-3789	Dr Elliot R Willis-orlando, DDS 4201 Rucker Ave, Everett, WA 98203-2215 Ph: (425) 789-3789

Reviews and Comments

Dentist in Everett, WA

Dr. Gabija Revis, DMD Dentist Medicare: Medicare Enrolled Practice Location: 4201 Rucker Ave, Everett, WA 98203 Phone: 425-382-4000
Dr. Stephen J Lee, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 10810 19th Ave Se, Everett, WA 98208 Phone: 425-337-4200
Dr. Colleen A Tracy, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 10315 19th Ave Se, Suite 110, Everett, WA 98208 Phone: 425-337-1000 Fax: 425-337-1099
Dr. Aman Manji, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 13112 39th Ave Se Ste B, Everett, WA 98208 Phone: 425-385-3839
Stacy Lin, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 13322 Highway 99, Suite 202, Everett, WA 98204 Phone: 425-743-3911 Fax: 425-742-7014
Dr. Arbia Zainvi, DDS Dentist Medicare: Medicare Enrolled Practice Location: 305 Se Everett Mall Way, Everett, WA 98208 Phone: 425-513-1993
Bryan Iksu Shin, DDS Dentist Medicare: Medicare Enrolled Practice Location: 927 128th St Sw, Everett, WA 98204 Phone: 425-290-6967

Dr Elliot R Willis-orlando, DDS - Medicare Dentist in Everett, WA