| Dr Brenda Sue Willis, MD | |
|
751 S Laurel St, Lincolnton, NC 28092-3622 | |
| (980) 284-2005 | |
| (980) 284-2008 |
| Full Name | Dr Brenda Sue Willis |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 751 S Laurel St, Lincolnton, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831372721 | NPI | - | NPPES |
| 176C4 | Other | NC | BCBS OF NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 201002109 (North Carolina) | Primary |
| Entity Name | Fletcher Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427075027 PECOS PAC ID: 5395658819 Enrollment ID: O20031111000778 |
| Entity Name | Novant Health Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
| Entity Name | Daymark Recovery Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558329243 PECOS PAC ID: 0547233975 Enrollment ID: O20040814000213 |
| Entity Name | Monarch |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801116405 PECOS PAC ID: 0244273852 Enrollment ID: O20050728000103 |
| Entity Name | Rha Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447376306 PECOS PAC ID: 8426196072 Enrollment ID: O20091119000172 |
| Entity Name | Coastal Southeastern United Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346477403 PECOS PAC ID: 6204089188 Enrollment ID: O20121228000121 |
| Entity Name | Dlp Haywood Regional Medical Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336542067 PECOS PAC ID: 9638398340 Enrollment ID: O20150109001818 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brenda Sue Willis, MD 751 S Laurel St, Lincolnton, NC 28092-3622 Ph: (980) 284-2005 | Dr Brenda Sue Willis, MD 751 S Laurel St, Lincolnton, NC 28092-3622 Ph: (980) 284-2005 |
Ervis Xhihani, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 441 Mcalister Rd, Ste 2200, Lincolnton, NC 28092 Phone: 980-212-6652 |