Brian G Willoughby, MD is a medicare enrolled "Internal Medicine" physician in Hettinger, North Dakota. His current practice location is
1000 Highway 12, Hettinger, North Dakota. You can reach out to his office (for appointments etc.) via phone at
(701) 567-4561.
Brian G Willoughby is licensed to practice in North Dakota (license number 5103) 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 1801981451.
Physician's Profile
| Full Name | Brian G Willoughby |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 1000 Highway 12, Hettinger, North Dakota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1801981451
- Provider Enumeration Date: 10/03/2006
- Last Update Date: 02/03/2014
Medicare PECOS Information:
- PECOS PAC ID: 8921138249
- Enrollment ID: I20101111000414
Medical Identifiers
Medical identifiers for Brian G Willoughby such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801981451 | NPI | - | NPPES |
| 123993 | Other | ND | WORKER'S COMP |
| 7776070 | Medicaid | SD | |
| 14656 | Medicaid | ND | |
| 3018140 | Medicaid | WA | |
| 7088230-00 | Medicaid | MN | |
| 25451 | Other | | SIOUX VALLEY |
| 0568253 | Medicaid | IA | |
| 10781 | Other | | ND BLUE CROSS/BLUE SHIELD |
| 45034068812 | Medicaid | NE | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 5103 (North Dakota) | 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. Brian G Willoughby allows following entities to bill medicare on his behalf.
| Entity Name | Monument Health Rapid City Hospital, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275553463
PECOS PAC ID: 6002729506
Enrollment ID: O20070625000144 |
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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. Brian G Willoughby 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 |
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Brian G Willoughby, MD
1100 Highway 12,
Hettinger, ND 58639-7533
Ph: (701) 567-6130 | Brian G Willoughby, MD
1000 Highway 12,
Hettinger, ND 58639
Ph: (701) 567-4561 |
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