Charles E Willis, MD in Desoto, TX - Medicare Pain Management

Charles E Willis, MD is a medicare enrolled "Pain Medicine - Pain Medicine" physician in Desoto, Texas. He went to University Of Texas Medical School At Houston and graduated in 1990 and has 36 years of diverse experience with area of expertise as Pain Management. His current practice location is 911 York Dr Ste 205, Desoto, Texas. You can reach out to his office (for appointments etc.) via phone at (214) 623-0550.

Charles E Willis is licensed to practice in Texas (license number J0365) 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 1336142983.

Contact Information

	Charles E Willis, MD
	911 York Dr Ste 205, Desoto, TX 75115-2064
	(214) 623-0550
	Not Available

Map and Direction

Physician's Profile

Full Name	Charles E Willis
Gender	Male
Speciality	Pain Management
Experience	36 Years
Location	911 York Dr Ste 205, Desoto, Texas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Charles E Willis attended and graduated from University Of Texas Medical School At Houston in 1990

NPI Data:

NPI Number: 1336142983
Provider Enumeration Date: 05/27/2005
Last Update Date: 01/27/2026

Medicare PECOS Information:

PECOS PAC ID: 5698664498
Enrollment ID: I20070517000123

Medical Identifiers

Medical identifiers for Charles E Willis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336142983	NPI	-	NPPES
134219808	Medicaid	TX
00R03P	Other	TX	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207LP2900X	Anesthesiology - Pain Medicine	J0365 (Texas)	Secondary
208VP0000X	Pain Medicine - Pain Medicine	J0365 (Texas)	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. Charles E Willis allows following entities to bill medicare on his behalf.

Entity Name	Charles E Willis Ii Md Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295862431 PECOS PAC ID: 5193701688 Enrollment ID: O20040625000496

Entity Name	Memorial Mri And Diagnostic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912989120 PECOS PAC ID: 6507859568 Enrollment ID: O20051209000488

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. Charles 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
Charles E Willis, MD Po Box 1347, Addison, TX 75001-1347 Ph: () -	Charles E Willis, MD 911 York Dr Ste 205, Desoto, TX 75115-2064 Ph: (214) 623-0550

Charles E Willis, MD - Medicare Pain Management in Desoto, TX