Jared Willis, in Fort Worth, TX - Medicare Emergency Medicine

Jared Willis, is a medicare enrolled "Emergency Medicine" physician in Fort Worth, Texas. He went to University Of Alabama School Of Medicine and graduated in 2018 and has 6 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Cfvhs Ed Physicians and his current practice location is 1500 S Main St, Fort Worth, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 702-1173.

Jared Willis is licensed to practice in North Carolina (license number 2021-01659) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1316441504.

Contact Information

	Jared Willis,
	1500 S Main St, Fort Worth, TX 76104-4917
	(817) 702-1173
	Not Available

Map and Direction

Physician's Profile

Full Name	Jared Willis
Gender	Male
Speciality	Emergency Medicine
Experience	6 Years
Location	1500 S Main St, Fort Worth, Texas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jared Willis attended and graduated from University Of Alabama School Of Medicine in 2018

NPI Data:

NPI Number: 1316441504
Provider Enumeration Date: 03/21/2018
Last Update Date: 08/19/2021

Medicare PECOS Information:

PECOS PAC ID: 8527463801
Enrollment ID: I20210825000863

Medical Identifiers

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

Identifier	Type	State	Issuer
1316441504	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	2021-01659 (North Carolina)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Betsy Johnson Regional Hospital	Dunn, NC	Hospital
Cape Fear Valley Medical Center	Fayetteville, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Cfvhs Ed Physicians	2961316237	27

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. Jared Willis allows following entities to bill medicare on his behalf.

Entity Name	Cfvhs Ed Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215931589 PECOS PAC ID: 2961316237 Enrollment ID: O20031119000605

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. Jared 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
Jared Willis, 1500 S Main St, Fort Worth, TX 76104-4917 Ph: (817) 702-1173	Jared Willis, 1500 S Main St, Fort Worth, TX 76104-4917 Ph: (817) 702-1173

Reviews and Comments

Emergency Medicine Doctors in Fort Worth, TX

Anna Burns Schroeder, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6451 Brentwood Stair Rd, Suite 202, Fort Worth, TX 76112 Phone: 713-858-4684
Joey Mayor, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1400 8th Ave, Fort Worth, TX 76104 Phone: 214-712-2074 Fax: 214-712-2444
Don Stewart Harper, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6451 Brentwood Stair Rd, Suite 200, Fort Worth, TX 76112 Phone: 817-507-1770 Fax: 817-507-1771
Dr. Britton Michael Devillier, M.D., M.P.H. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 801 7th Ave, Fort Worth, TX 76104 Phone: 682-885-4095 Fax: 682-885-7499
Lacey A Mcdaniel, PA-C Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7001 Granbury Rd, Fort Worth, TX 76133 Phone: 817-346-1925 Fax: 817-292-7237
Dr. Rafael Andres Raya, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3101 N Tarrant Pkwy, Fort Worth, TX 76177 Phone: 817-639-1000
Mr. Karim S Jamal, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 11801 S. Freeway, Fort Worth, TX 76134 Phone: 817-293-9110

Jared Willis, - Medicare Emergency Medicine in Fort Worth, TX