Austin Glenn Willis, DO - Medicare Pediatrics in Albuquerque, NM

Austin Glenn Willis, DO is a medicare enrolled "Pediatrics" physician in Albuquerque, New Mexico. His current practice location is 1100 Central Ave Se, Albuquerque, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 841-1063.

Austin Glenn Willis is licensed to practice in New Mexico (license number A-2075-17) 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 1083034920.

Contact Information

Austin Glenn Willis, DO
1100 Central Ave Se,
Albuquerque, NM 87106-4930
(505) 841-1063
Not Available

Map and Direction




Physician's Profile

Full NameAustin Glenn Willis
GenderMale
SpecialityPediatrics
Location1100 Central Ave Se, Albuquerque, New Mexico
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083034920
  • Provider Enumeration Date: 04/18/2014
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7012282171
  • Enrollment ID: I20170929001296

Medical Identifiers

Medical identifiers for Austin Glenn Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083034920NPI-NPPES
32103778MedicaidNM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics BP1-0059381 (Texas)Secondary
208000000XPediatrics A-2075-17 (New Mexico)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. Austin Glenn Willis allows following entities to bill medicare on his behalf.
Entity NamePresbyterian Healthcare Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104802354
PECOS PAC ID: 9234041708
Enrollment ID: O20031103000603

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. Austin Glenn 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
Austin Glenn Willis, DO
Po Box 26666, Phs Provider Enrollment,
Albuquerque, NM 87125-6666

Ph: (505) 923-6770
Austin Glenn Willis, DO
1100 Central Ave Se,
Albuquerque, NM 87106-4930

Ph: (505) 841-1063

Reviews and Comments


Pediatrics Doctors in Albuquerque, NM

Janell Fuller, MD
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Phone: 505-272-2345    
Ivana Radovanovic, MD
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Practice Location: 2211 Lomas Ne Acc 3w, Albuquerque, NM 87131
Phone: 505-272-6632    Fax: 505-272-6620
Lynn Longfield, MD
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Phone: 505-823-1010    Fax: 505-797-4503
Thomas Rothfeld, MD
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Practice Location: 401 San Mateo Blvd Se, Pmg San Mateo, Albuquerque, NM 87108
Phone: 505-462-7306    Fax: 505-462-7495
Dr. Leslie Erin Strickler, DO
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Practice Location: 2211 Lomas Blvd Ne, Albuquerque, NM 87106
Phone: 505-272-5551    Fax: 505-272-6845
Jennifer M Garcia, MD
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Medicare: Medicare Enrolled
Practice Location: 2001 El Centro Familiar Blvd Sw, Albuquerque, NM 87105
Phone: 505-873-7400    Fax: 505-224-8797
Dr. William B Hawk, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 5904 Holly Ave Ne, Albuquerque, NM 87113
Phone: 505-298-2505    Fax: 505-298-2985

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.