Dr Channing Dale Willoughby, MD is a medicare enrolled "Pain Medicine - Pain Medicine" physician in Murrells Inlet, South Carolina. He went to Medical University Of South Carolina College Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Pain Management. He is a member of the group practice Carolina Orthopaedic And Neurosurgical Associates and his current practice location is
4040 Highway 17, Suite206, Murrells Inlet, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(843) 652-8260.
Dr Channing Dale Willoughby is licensed to practice in South Carolina (license number 33509) 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 1235336421.
Physician's Profile
| Full Name | Dr Channing Dale Willoughby |
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| Gender | Male |
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| Speciality | Pain Management |
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| Experience | 13 Years |
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| Location | 4040 Highway 17, Murrells Inlet, South Carolina |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Channing Dale Willoughby attended and graduated from Medical University Of South Carolina College Of Medicine in 2011
NPI Data:
- NPI Number: 1235336421
- Provider Enumeration Date: 06/29/2007
- Last Update Date: 03/18/2021
Medicare PECOS Information:
- PECOS PAC ID: 6901075001
- Enrollment ID: I20110805000650
Medical Identifiers
Medical identifiers for Dr Channing Dale Willoughby such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1235336421 | NPI | - | NPPES |
| 33509 | Other | SC | STATE MEDICAL LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208VP0000X | Pain Medicine - Pain Medicine | 33509 (South Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Carolina Orthopaedic And Neurosurgical Associates | 5991695975 | 43 |
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 Channing Dale Willoughby allows following entities to bill medicare on his behalf.
| Entity Name | Carolina Orthopaedic And Neurosurgical Associates |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568454056
PECOS PAC ID: 5991695975
Enrollment ID: O20040316000553 |
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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. Dr Channing Dale Willoughby 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 |
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Dr Channing Dale Willoughby, MD
Po Box 421718,
Georgetown, SC 29442-4203
Ph: (843) 652-8226 | Dr Channing Dale Willoughby, MD
4040 Highway 17, Suite206,
Murrells Inlet, SC 29576-5098
Ph: (843) 652-8260 |
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