Denise Boyd Willis, PA-C is a medicare enrolled "Physician Assistant - Medical" physician in Hopewell, Virginia. Her current practice location is
5303 Plaza Dr, Suite 101, Hopewell, Virginia. You can reach out to her office (for appointments etc.) via phone at
(804) 458-2006.
Denise Boyd Willis is licensed to practice in Virginia (license number 0110001909) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1326024076.
Physician's Profile
| Full Name | Denise Boyd Willis |
|---|
| Gender | Female |
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| Speciality | Physician Assistant - Medical |
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| Location | 5303 Plaza Dr, Hopewell, Virginia |
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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: 1326024076
- Provider Enumeration Date: 12/15/2005
- Last Update Date: 06/04/2013
Medicare PECOS Information:
- PECOS PAC ID: 3375573744
- Enrollment ID: I20070510000329
Medical Identifiers
Medical identifiers for Denise Boyd Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326024076 | NPI | - | NPPES |
| 0110001909 | Other | VA | VA STATE MEDICAL LICENSE |
| 007691084 | Medicaid | VA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 0110001909 (Virginia) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 0110001909 (Virginia) | Primary |
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. Denise Boyd 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 |
|---|
Denise Boyd Willis, PA-C
3912 Schooner Lane,
Hopewell, VA 23860
Ph: (804) 892-3480 | Denise Boyd Willis, PA-C
5303 Plaza Dr, Suite 101,
Hopewell, VA 23860-7331
Ph: (804) 458-2006 |
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