Dr Kimberly Rachelle Willis, MD in Goldsboro, NC

Dr Kimberly Rachelle Willis, MD is a medicare enrolled "Family Medicine" physician in Goldsboro, North Carolina. She went to University Central Del Caribe Escuela De Medicina and graduated in 2005 and has 19 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Southeast Arkansas Hospitalists Llp and her current practice location is 2609 Medical Office Pl, Goldsboro, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 731-1779.

Dr Kimberly Rachelle Willis is licensed to practice in Arkansas (license number E-5445) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1487852562.

Contact Information

	Dr Kimberly Rachelle Willis, MD
	2609 Medical Office Pl, Goldsboro, NC 27534-9428
	(919) 731-1779
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Kimberly Rachelle Willis
Gender	Female
Speciality	Family Practice
Experience	19 Years
Location	2609 Medical Office Pl, Goldsboro, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Kimberly Rachelle Willis attended and graduated from University Central Del Caribe Escuela De Medicina in 2005

NPI Data:

NPI Number: 1487852562
Provider Enumeration Date: 07/10/2007
Last Update Date: 02/22/2023

Medicare PECOS Information:

PECOS PAC ID: 1759455389
Enrollment ID: I20080731000039

Medical Identifiers

Medical identifiers for Dr Kimberly Rachelle Willis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487852562	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	2009-01271 (North Carolina)	Secondary
208M00000X	Hospitalist	2009-01271 (North Carolina)	Secondary
207Q00000X	Family Medicine	E-5445 (Arkansas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Jefferson Regional Medical Center	Pine bluff, AR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southeast Arkansas Hospitalists Llp	9537479605	12

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 Kimberly Rachelle Willis allows following entities to bill medicare on her behalf.

Entity Name	Southeast Arkansas Hospitalists Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912374018 PECOS PAC ID: 9537479605 Enrollment ID: O20151103000750

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 Kimberly Rachelle 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
Dr Kimberly Rachelle Willis, MD 152 Aviary Ct, Clayton, NC 27520-4054 Ph: (501) 733-8722	Dr Kimberly Rachelle Willis, MD 2609 Medical Office Pl, Goldsboro, NC 27534-9428 Ph: (919) 731-1779

Reviews and Comments

Family Medicine Doctors in Goldsboro, NC

Bruce W. Rogers, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 200 W Ash St, Ste 202, Goldsboro, NC 27530 Phone: 919-731-4941 Fax: 919-731-2416
Ryan Scott King, Family Medicine Medicare: Medicare Enrolled Practice Location: 208 Cox Blvd Ste 102, Goldsboro, NC 27534 Phone: 919-731-6018
Mark Ashford Blizzard, FNP Family Medicine Medicare: Medicare Enrolled Practice Location: 2704 Medical Office Pl, Goldsboro, NC 27534 Phone: 919-736-4724
Reena Sini Joseph, M.D Family Medicine Medicare: Medicare Enrolled Practice Location: 2701 Medical Office Pl, Goldsboro, NC 27534 Phone: 919-739-8680 Fax: 919-739-8616
Saskia Rupnarain, PA-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2600 Us Highway 70 W, Goldsboro, NC 27530 Phone: 919-739-4808 Fax: 919-739-4810
James Chang, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1401 W Ash St, Goldsboro, NC 27530 Phone: 919-947-8183
Dr. Phillip Walker Moye, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2700 Wayne Memorial Dr, Emergency Dept, Goldsboro, NC 27534 Phone: 919-731-6060 Fax: 919-580-9224

Dr Kimberly Rachelle Willis, MD - Medicare Family Practice in Goldsboro, NC