Bradley S Willis, MD - Medicare Family Practice in Summersville, WV

Bradley S Willis, MD is a medicare enrolled "Family Medicine" physician in Summersville, West Virginia. He went to West Virginia University School Of Medicine and graduated in 2006 and has 18 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice West Virginia Health Care Cooperative Inc and his current practice location is 400 Fairview Heights Rd, Summersville, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 872-8545.

Bradley S Willis is licensed to practice in West Virginia (license number 23490) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1578777389.

Contact Information

Bradley S Willis, MD
400 Fairview Heights Rd,
Summersville, WV 26651-9308
(304) 872-8545
(304) 872-0675

Map and Direction




Physician's Profile

Full NameBradley S Willis
GenderMale
SpecialityFamily Practice
Experience18 Years
Location400 Fairview Heights Rd, Summersville, West Virginia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Bradley S Willis attended and graduated from West Virginia University School Of Medicine in 2006
  NPI Data:
  • NPI Number: 1578777389
  • Provider Enumeration Date: 05/10/2007
  • Last Update Date: 08/06/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8224181573
  • Enrollment ID: I20090804000197

Medical Identifiers

Medical identifiers for Bradley S Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578777389NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 23490 (West Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Summersville Regional Medical CenterSummersville, WVHospital
Braxton County Memorial Hospital, IncGassaway, WVHospital
West Virginia University HospitalsMorgantown, WVHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
West Virginia Health Care Cooperative Inc983043103045

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. Bradley S Willis allows following entities to bill medicare on his behalf.
Entity NameWest Virginia Health Care Cooperative Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417415324
PECOS PAC ID: 9830431030
Enrollment ID: O20190508000440
Entity NameWest Virginia Health Care Cooperative Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1043778319
PECOS PAC ID: 9830431030
Enrollment ID: O20190531001788

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. Bradley S 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
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

Reviews and Comments


Family Medicine Doctors in Summersville, WV

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. 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
Miraflor G Khorshad, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 415 Main St, Summersville, WV 26651
Phone: 304-872-5500    Fax: 304-872-5592

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.