Dr Willard Wesley Connor Jr, MD in San Diego, CA - Medicare Psychiatry & Neurology

Dr Willard Wesley Connor Jr, MD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in San Diego, California. His current practice location is 16885 W Bernardo Dr, Suite 235, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (619) 550-3201.

Dr Willard Wesley Connor Jr is licensed to practice in California (license number A102033) 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 1871772129.

Contact Information

	Dr Willard Wesley Connor Jr, MD
	16885 W Bernardo Dr, Suite 235, San Diego, CA 92127-1618
	(619) 550-3201
	(619) 342-7527

Map and Direction

Physician's Profile

Full Name	Dr Willard Wesley Connor Jr
Gender	Male
Speciality	Psychiatry & Neurology - Child & Adolescent Psychiatry
Location	16885 W Bernardo Dr, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871772129
Provider Enumeration Date: 11/02/2007
Last Update Date: 02/02/2012

Medicare PECOS Information:

PECOS PAC ID: 5890865232
Enrollment ID: I20080528000479

Medical Identifiers

Medical identifiers for Dr Willard Wesley Connor Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871772129	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	A102033 (California)	Secondary
2084P0804X	Psychiatry & Neurology - Child & Adolescent Psychiatry	A102033 (California)	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 Willard Wesley Connor Jr allows following entities to bill medicare on his behalf.

Entity Name	Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508968967 PECOS PAC ID: 3577476761 Enrollment ID: O20031203000756

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 Willard Wesley Connor Jr 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 Willard Wesley Connor Jr, MD 16885 W Bernardo Dr, Suite 235, San Diego, CA 92127-1618 Ph: (619) 550-3201	Dr Willard Wesley Connor Jr, MD 16885 W Bernardo Dr, Suite 235, San Diego, CA 92127-1618 Ph: (619) 550-3201

Reviews and Comments

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Dr Willard Wesley Connor Jr, MD - Medicare Psychiatry & Neurology in San Diego, CA