Erick J Willis, MD in Huntington, WV

Erick J Willis, MD is a medicare enrolled "Pediatrics" physician in Huntington, West Virginia. His current practice location is 2828 First Avenue, Suite 305, Huntington, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 399-7565.

Erick J Willis is licensed to practice in West Virginia (license number 23279) 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 1912111097.

Contact Information

	Erick J Willis, MD
	2828 First Avenue, Suite 305, Huntington, WV 25702
	(304) 399-7565
	(304) 399-7568

Map and Direction

Physician's Profile

Full Name	Erick J Willis
Gender	Male
Speciality	Pediatrics
Location	2828 First Avenue, Huntington, West Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912111097
Provider Enumeration Date: 05/09/2007
Last Update Date: 04/22/2021

Medicare PECOS Information:

PECOS PAC ID: 0143397604
Enrollment ID: I20080924000778

Medical Identifiers

Medical identifiers for Erick J Willis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912111097	NPI	-	NPPES
1073527	Other	WV	BRICKSTREET
3810012988	Medicaid	WV
2909820	Medicaid	OH
6570317	Other	WV	CIGNA
7100066820	Medicaid	KY
878669	Other	WV	CARELINK
000000245860	Medicaid	OH
9865182	Other	WV	AETNA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	99999 (West Virginia)	Secondary
208000000X	Pediatrics	23279 (West Virginia)	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. Erick J Willis allows following entities to bill medicare on his behalf.

Entity Name	St. Mary's Medical Management, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922155217 PECOS PAC ID: 5890897151 Enrollment ID: O20070216000690

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. Erick J 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
Erick J Willis, MD Po Box 4190, Barboursville, WV 25504-4190 Ph: (304) 399-4405	Erick J Willis, MD 2828 First Avenue, Suite 305, Huntington, WV 25702 Ph: (304) 399-7565

Reviews and Comments

Pediatrics Doctors in Huntington, WV

Dr. Tanya G Bigby, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5187 Us Route 60 E, Ste 11, Huntington, WV 25705 Phone: 304-399-5437 Fax: 304-399-1104
Kate M. Waldeck, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 Medical Center Dr Ste 3500, Huntington, WV 25701 Phone: 304-691-1300
Sherrie N Miranda, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1600 Medical Center Dr, Suite 3500, Huntington, WV 25701 Phone: 304-691-1300 Fax: 304-691-1375
Jessie Shields, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 Medical Center Dr, Sutie 3500, Huntington, WV 25701 Phone: 304-691-1300 Fax: 304-691-1375
Jackie R Stines Jr., MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 Medical Center Drive, Ste 3500, Huntington, WV 25701 Phone: 304-691-1300 Fax: 304-691-1375
Dr. Rose Mary Ayoob, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 Medical Center Dr Ste 3500, Huntington, WV 25701 Phone: 304-691-1300 Fax: 304-691-1375
Jennifer K Gerlach, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1600 Medical Center Dr, Ste 3500, Huntington, WV 25701 Phone: 304-691-1300 Fax: 304-691-1375

Erick J Willis, MD - Medicare Pediatrics in Huntington, WV