Carolyn Willis, is a medicare enrolled "Dermatology" physician in Mars, Pennsylvania. Her current practice location is
118 Grand Ave, Mars, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(412) 501-9585.
Carolyn Willis is licensed to practice in New York (license number 226705) 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 1376595215.
Physician's Profile
| Full Name | Carolyn Willis |
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| Gender | Female |
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| Speciality | Dermatology |
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| Location | 118 Grand Ave, Mars, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1376595215
- Provider Enumeration Date: 05/17/2006
- Last Update Date: 09/14/2025
Medicare PECOS Information:
- PECOS PAC ID: 4385659416
- Enrollment ID: I20160818000038
Medical Identifiers
Medical identifiers for Carolyn Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1376595215 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207N00000X | Dermatology | 226705 (New York) | 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. Carolyn Willis allows following entities to bill medicare on her behalf.
| Entity Name | University Of Pittsburgh Physicians |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1619935004 PECOS PAC ID: 8729990239 Enrollment ID: O20040308000883 |
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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. Carolyn 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 |
Carolyn Willis, 208 Logan Rd, Gibsonia, PA 15044-6092 Ph: (718) 344-9868 | Carolyn Willis, 118 Grand Ave, Mars, PA 16046-3410 Ph: (412) 501-9585 |
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