Eric Willis, is a medicare enrolled "Dermatology" physician in Live Oak, Texas. His current practice location is
7832 Pat Booker Rd, Live Oak, Texas. You can reach out to his office (for appointments etc.) via phone at
(210) 657-9338.
Eric Willis is licensed to practice in Texas (license number T7083) 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 1477040038.
Physician's Profile
| Full Name | Eric Willis |
|---|
| Gender | Male |
|---|
| Speciality | Dermatology |
|---|
| Location | 7832 Pat Booker Rd, Live Oak, Texas |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1477040038
- Provider Enumeration Date: 04/19/2018
- Last Update Date: 04/22/2025
Medicare PECOS Information:
- PECOS PAC ID: 2062746290
- Enrollment ID: I20220823000171
Medical Identifiers
Medical identifiers for Eric Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477040038 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | T7083 (Texas) | 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. Eric Willis allows following entities to bill medicare on his behalf.
| Entity Name | Dermatology Associates Of San Antonio |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1487661518
PECOS PAC ID: 1759319296
Enrollment ID: O20050727000312 |
|---|
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. Eric 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 |
|---|
Eric Willis,
7832 Pat Booker Rd,
Live Oak, TX 78233-2601
Ph: (210) 657-9338 | Eric Willis,
7832 Pat Booker Rd,
Live Oak, TX 78233-2601
Ph: (210) 657-9338 |
Reviews and Comments