| Dr Matthew Clifford Willett, MD | |
|
Naval Hospital Camp Pendleton, 200 Mercy Circle, Camp Pendleton, CA 92055-5191 | |
| (760) 719-3249 | |
| Not Available |
| Full Name | Dr Matthew Clifford Willett |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 12 Years |
| Location | Naval Hospital Camp Pendleton, Camp Pendleton, California |
| 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 |
|---|---|---|---|
| 1720328107 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 132174 (California) | Secondary |
| 207N00000X | Dermatology | 132174 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pacific Dermatology Institute | 2062546260 | 30 |
| Scripps Health | 9234033853 | 1388 |
| St Lukes Physician Group Inc | 6709798333 | 1858 |
| Entity Name | Scripps Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275899072 PECOS PAC ID: 9234033853 Enrollment ID: O20031124000822 |
| Entity Name | Advanced Dermatology & Cosmetics Laser Care A Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912026097 PECOS PAC ID: 5395659460 Enrollment ID: O20081117000122 |
| Entity Name | Pacific Dermatology Institute |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740410182 PECOS PAC ID: 2062546260 Enrollment ID: O20100810000288 |
| Entity Name | Compass Dermatopathology Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922312248 PECOS PAC ID: 7113112558 Enrollment ID: O20101111000762 |
| Entity Name | Csi Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871909804 PECOS PAC ID: 5890916845 Enrollment ID: O20141016001930 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Matthew Clifford Willett, MD Po Box 555191, Camp Pendleton, CA 92055-5191 Ph: (760) 719-3249 | Dr Matthew Clifford Willett, MD Naval Hospital Camp Pendleton, 200 Mercy Circle, Camp Pendleton, CA 92055-5191 Ph: (760) 719-3249 |
Minal Damani Jackson, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 200 Mercy Ct, Camp Pendleton, CA 92055 Phone: 760-719-4062 Fax: 760-719-4061 |