Dr Mark L Willis, MD in Dothan, AL - Medicare Pain Management

Dr Mark L Willis, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Dothan, Alabama. He went to Medical College Of Georgia School Of Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Pain Management. He is a member of the group practice Houston County Healthcare Authority and his current practice location is 208 Haven Dr, Southeast Pain Mgmt Center, Dothan, Alabama. You can reach out to his office (for appointments etc.) via phone at (334) 793-8196.

Dr Mark L Willis is licensed to practice in Alabama (license number 00025952) 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 1740269612.

Contact Information

	Dr Mark L Willis, MD
	208 Haven Dr, Southeast Pain Mgmt Center, Dothan, AL 36301-2909
	(334) 793-8196
	(334) 699-4757

Map and Direction

Physician's Profile

Full Name	Dr Mark L Willis
Gender	Male
Speciality	Pain Management
Experience	21 Years
Location	208 Haven Dr, Dothan, Alabama
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Mark L Willis attended and graduated from Medical College Of Georgia School Of Medicine in 2003

NPI Data:

NPI Number: 1740269612
Provider Enumeration Date: 01/10/2006
Last Update Date: 05/11/2017

Medicare PECOS Information:

PECOS PAC ID: 5092797258
Enrollment ID: I20040602001251

Medical Identifiers

Medical identifiers for Dr Mark L Willis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740269612	NPI	-	NPPES
622443016A	Other	GA	MEDICAID
51521334	Other		BCBS OF AL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	00025952 (Alabama)	Secondary
207LP2900X	Anesthesiology - Pain Medicine	00025952 (Alabama)	Secondary
208VP0014X	Pain Medicine - Interventional Pain Medicine	00025952 (Alabama)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Southeast Alabama Medical Center	Dothan, AL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Houston County Healthcare Authority	9436062296	196

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 Mark L Willis allows following entities to bill medicare on his behalf.

Entity Name	Houston County Healthcare Authority
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619026606 PECOS PAC ID: 9436062296 Enrollment ID: O20040219000209

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 Mark L 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 Mark L Willis, MD 1108 Ross Clark Circle, Southeast Pain Mgmt Center, Dothan, AL 36301 Ph: (334) 793-8196	Dr Mark L Willis, MD 208 Haven Dr, Southeast Pain Mgmt Center, Dothan, AL 36301-2909 Ph: (334) 793-8196

Dr Mark L Willis, MD - Medicare Pain Management in Dothan, AL