Mary E Willis, RD, LD, CDE is a medicare enrolled "Dietitian, Registered" provider in Stanley, Kansas. She graduated from medical school in 1985 and has 41 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. Her current practice location is
15101 Glenwood Ave, Stanley, Kansas. You can reach out to her office (for appointments etc.) via phone at
(913) 681-8866.
Mary E Willis is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1710127626.
Healthcare Provider's Profile
| Full Name | Mary E Willis |
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| Gender | Female |
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| Speciality | Registered Dietitian Or Nutrition Professional |
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| Experience | 41 Years |
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| Location | 15101 Glenwood Ave, Stanley, Kansas |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mary E Willis graduated from medical school in 1985
NPI Data:
- NPI Number: 1710127626
- Provider Enumeration Date: 03/05/2009
- Last Update Date: 01/08/2013
Medicare PECOS Information:
- PECOS PAC ID: 3375738024
- Enrollment ID: I20101108001433
Medical Identifiers
Medical identifiers for Mary E Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1710127626 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | (* (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. Mary E 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 Address | Practice Location Address |
|---|
Mary E Willis, RD, LD, CDE
Po Box 741331,
Atlanta, GA 30374-1331
Ph: (913) 469-0503 | Mary E Willis, RD, LD, CDE
15101 Glenwood Ave,
Stanley, KS 66223-3154
Ph: (913) 681-8866 |
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