| Bradley S Willis, MD | |
|
400 Fairview Heights Rd, Summersville, WV 26651-9308 | |
| (304) 872-8545 | |
| (304) 872-0675 |
| Full Name | Bradley S Willis |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 19 Years |
| Location | 400 Fairview Heights Rd, Summersville, West Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578777389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 23490 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Summersville Regional Medical Center | Summersville, WV | Hospital |
| West Virginia University Hospitals | Morgantown, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| West Virginia Health Care Cooperative Inc | 9830431030 | 51 |
| Entity Name | Braxton County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356304547 PECOS PAC ID: 5193717759 Enrollment ID: O20040401001560 |
| Entity Name | West Virginia Health Care Cooperative Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417415324 PECOS PAC ID: 9830431030 Enrollment ID: O20190508000440 |
| Entity Name | West Virginia Health Care Cooperative Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1043778319 PECOS PAC ID: 9830431030 Enrollment ID: O20190531001788 |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley S Willis, MD 400 Fairview Heights Rd, Summersville, WV 26651-9308 Ph: (304) 872-8545 | Bradley S Willis, MD 400 Fairview Heights Rd, Summersville, WV 26651-9308 Ph: (304) 872-8545 |
Robert Charles Stanley, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 702 Professional Park Dr, Suite 100, Summersville, WV 26651 Phone: 304-872-2991 Fax: 304-872-6268 | |
Bruce Kevin Greenberg, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 Fairview Heights Rd, Summersville, WV 26651 Phone: 304-872-5090 Fax: 304-872-0636 | |
Dr. Keith Richard De Young, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 415 Main St, Summersville, WV 26651 Phone: 304-872-1663 | |
Dr. Crischelle L Shank, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 Fairview Heights Rd, Summersville, WV 26651 Phone: 304-842-5090 | |
Dr. Richard Stockton Trenbath, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 211 Merchants Walk, Shopping Center, Summersville, WV 26651 Phone: 304-872-9455 Fax: 304-872-9456 | |
Kathy Hamon, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 415 Main St, Summersville, WV 26651 Phone: 304-872-1663 Fax: 304-872-1804 | |
Mark Lynwood Wantz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 Fairview Heights Rd, Summersville, WV 26651 Phone: 304-872-5090 Fax: 304-872-0636 |