Dr Devin R Willis, MD - Medicare Sports Medicine in Wildwood, MO

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Dr Devin R Willis, MD is a medicare enrolled "Family Medicine - Sports Medicine" physician in Wildwood, Missouri. He graduated from medical school in 2013 and has 13 years of diverse experience with area of expertise as Sports Medicine. He is a member of the group practice Physician Groups Lc and his current practice location is 16555 Manchester Rd Ste 100, Wildwood, Missouri. You can reach out to his office (for appointments etc.) via phone at (636) 458-0646.

Dr Devin R Willis is licensed to practice in Missouri (license number 2016023372) 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 1295175057.

Contact Information

Dr Devin R Willis, MD
16555 Manchester Rd Ste 100,
Wildwood, MO 63040
(636) 458-0646
(636) 458-5008

Map and Direction




Physician's Profile

Full NameDr Devin R Willis
GenderMale
SpecialitySports Medicine
Experience13 Years
Location16555 Manchester Rd Ste 100, Wildwood, Missouri
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:
  • Dr Devin R Willis graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1295175057
  • Provider Enumeration Date: 06/26/2013
  • Last Update Date: 11/10/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7012143449
  • Enrollment ID: I20170913002736

Medical Identifiers

Medical identifiers for Dr Devin R Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295175057NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QS0010XFamily Medicine - Sports Medicine 2016023372 (Missouri)Primary
208M00000XHospitalist 2016023372 (Missouri)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Missouri Baptist Medical CenterTown and country, MOHospital
Christian Hospital NortheastSaint louis, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Physician Groups Lc3072421254455

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. Dr Devin R Willis allows following entities to bill medicare on his behalf.
Entity NamePhysician Groups Lc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285664268
PECOS PAC ID: 3072421254
Enrollment ID: O20040220001157
Entity NameWashington University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679516033
PECOS PAC ID: 9830008770
Enrollment ID: O20040420000704
Entity NameMercy Clinic East Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851335228
PECOS PAC ID: 7214827922
Enrollment ID: O20070521000006

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. Dr Devin R 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
Dr Devin R Willis, MD
16555 Manchester Rd Ste 100,
Wildwood, MO 63040-1220

Ph: (636) 458-0646		Dr Devin R Willis, MD
16555 Manchester Rd Ste 100,
Wildwood, MO 63040

Ph: (636) 458-0646

Reviews and Comments


Family Medicine Doctors in Wildwood, MO

Bryan James Cannon, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 16555 Manchester Rd, Suite 100, Wildwood, MO 63040
Phone: 636-458-0646    
Dr. Lindsay Nicole Ogle, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1812 Oak Tree Ridge Rd, Wildwood, MO 63005
Phone: 844-676-1037    Fax: 833-664-4548
Dr. Brenda Gail Izen, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2638 Highway 109 Ste 101, Wildwood, MO 63040
Phone: 636-821-2500    Fax: 636-821-2210
Lisa C Burns, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 16555 Manchester Rd, Suite 100, Wildwood, MO 63040
Phone: 636-458-0646    

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.