| Dr Darrell E Willis, MD | |
|
402 E Miel De Luna Ave, Tucumcari, NM 88401-3828 | |
| (575) 461-7100 | |
| (575) 461-7101 |
| Full Name | Dr Darrell E Willis |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 28 Years |
| Location | 402 E Miel De Luna Ave, Tucumcari, New Mexico |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740235480 | NPI | - | NPPES |
| 256613300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME77630 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tucumcari Home Health | Tucumcari, NM | Home health agency |
| Tucumcari Hospice | Tucumcari, NM | Hospice |
| Dr Dan C Trigg Memorial Hospital | Tucumcari, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Presbyterian Healthcare Services | 9234041708 | 1179 |
| Entity Name | Presbyterian Healthcare Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Darrell E Willis, MD 909 Escuela Ave, Tucumcari, NM 88401-4616 Ph: (850) 376-6042 | Dr Darrell E Willis, MD 402 E Miel De Luna Ave, Tucumcari, NM 88401-3828 Ph: (575) 461-7100 |
Mudassir Mubeen Saleemi, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1302 E Main St, Tucumcari, NM 88401 Phone: 505-461-2200 Fax: 505-461-2213 | |
Haily Wallace, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 402 E Miel De Luna Ave, Pmg At Dr Dan C Trigg Memorial Hospital, Tucumcari, NM 88401 Phone: 575-461-7100 Fax: 575-461-7101 |