Dr Sean Dustin Willis, DO - Medicare Surgery in Rockville Centre, NY

  1. Home
  2. Surgery
  3. NY
  4. Rockville Centre
Dr Sean Dustin Willis, DO is a medicare enrolled "Surgery" physician in Rockville Centre, New York. His current practice location is 2000 N Village Ave Ste 211, Rockville Centre, New York. You can reach out to his office (for appointments etc.) via phone at (516) 714-3743.

Dr Sean Dustin Willis is licensed to practice in New York (license number 321467) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1710484910.

Contact Information

Dr Sean Dustin Willis, DO
2000 N Village Ave Ste 211,
Rockville Centre, NY 11570-1001
(516) 714-3743
Not Available

Map and Direction




Physician's Profile

Full NameDr Sean Dustin Willis
GenderMale
SpecialitySurgery
Location2000 N Village Ave Ste 211, Rockville Centre, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1710484910
  • Provider Enumeration Date: 04/12/2018
  • Last Update Date: 08/18/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3870931116
  • Enrollment ID: I20240404003046

Medical Identifiers

Medical identifiers for Dr Sean Dustin Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710484910NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0102XSurgery - Surgical Critical Care 321467 (New York)Secondary
2086S0127XSurgery - Trauma Surgery OS20663 (Florida)Secondary
208600000XSurgery 321467 (New York)Primary

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 Sean Dustin Willis allows following entities to bill medicare on his behalf.
Entity NameFlorida Clinical Practice Association Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063463768
PECOS PAC ID: 0345146254
Enrollment ID: O20031211000099

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 Sean Dustin 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 AddressPractice Location Address
Dr Sean Dustin Willis, DO
Po Box 100108,
Gainesville, FL 32610-0108

Ph: (352) 265-0535		Dr Sean Dustin Willis, DO
2000 N Village Ave Ste 211,
Rockville Centre, NY 11570-1001

Ph: (516) 714-3743

Reviews and Comments


Surgery Doctors in Rockville Centre, NY

Dr. Dana O. Monaco, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2000 N Village Ave, Suite 209, Rockville Centre, NY 11570
Phone: 516-766-8600    Fax: 516-766-8858
Jonathan Victor Goldstein, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 77 N Centre Ave, Suite 306, Rockville Centre, NY 11570
Phone: 516-264-5900    Fax: 516-594-9728
Rashid Ayyub, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1000 N. Village Avenue, Rockville Centre, NY 11571
Phone: 516-705-1818    
Daniel Haller, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2000 N Village Ave Ste 211, Rockville Centre, NY 11570
Phone: 516-900-7922    Fax: 718-425-8911
Dr. Omar Wain, D.O.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2000 N Village Ave Ste 211, Rockville Centre, NY 11570
Phone: 516-900-7922    Fax: 718-425-8911
Joel Benowitz, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1000 N Village Ave, Rockville Centre, NY 11570
Phone: 516-889-9100    Fax: 516-889-9108
Dr. Robert Alan Cooper, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 77 N Centre Ave, Ste 306, Rockville Centre, NY 11570
Phone: 516-766-3730    Fax: 516-678-3620

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.