Clark H Willis, MD in Salisbury, MD - Medicare Emergency Medicine

Clark H Willis, MD is a medicare enrolled "Emergency Medicine" physician in Salisbury, Maryland. His current practice location is 100 E Carroll St, Salisbury, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 543-7100.

Clark H Willis is licensed to practice in Maryland (license number D0063374) 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 1700865623.

Contact Information

	Clark H Willis, MD
	100 E Carroll St, Salisbury, MD 21801
	(410) 543-7100
	Not Available

Map and Direction

Physician's Profile

Full Name	Clark H Willis
Gender	Male
Speciality	Emergency Medicine
Location	100 E Carroll St, Salisbury, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700865623
Provider Enumeration Date: 01/10/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 0446224547
Enrollment ID: I20051003000586

Medical Identifiers

Medical identifiers for Clark H Willis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700865623	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	D0063374 (Maryland)	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. Clark H Willis allows following entities to bill medicare on his behalf.

Entity Name	Emergency Service Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558340562 PECOS PAC ID: 8224024716 Enrollment ID: O20040421000848

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. Clark H 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
Clark H Willis, MD Po Box 3012, Wilmington, DE 19804 Ph: (302) 224-5678	Clark H Willis, MD 100 E Carroll St, Salisbury, MD 21801 Ph: (410) 543-7100

Reviews and Comments

Emergency Medicine Doctors in Salisbury, MD

William C Todd, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 E Carroll St, Salisbury, MD 21801 Phone: 410-543-7100 Fax: 410-546-6350
James T Little, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 East Carroll Street, Salisbury, MD 21801 Phone: 410-543-7100 Fax: 410-546-6350
Mr. Walter David Gianelle, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2425 N Salisbury Blvd, Salisbury, MD 21801 Phone: 410-334-6351 Fax: 410-334-6352
Dr. David Allen Foley, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1665 Woodbrooke Dr, Salisbury, MD 21804 Phone: 410-546-6650 Fax: 410-546-2656
Karen A Mull, PAC Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 East Carroll Street, Salisbury, MD 21801 Phone: 410-543-7100 Fax: 410-546-6350
Dr. Jenna Jarriel, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 E Carroll St, Salisbury, MD 21801 Phone: 410-543-7742
Elizabeth K Koval, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 E Carroll St, Salisbury, MD 21801 Phone: 410-543-7100 Fax: 410-546-6350

Clark H Willis, MD - Medicare Emergency Medicine in Salisbury, MD