Jeff R Willis, MD | |
500 W Broadway St, Missoula, MT 59802-4008 | |
(406) 721-5600 | |
(406) 721-3907 |
Full Name | Jeff R Willis |
---|---|
Gender | Male |
Speciality | Gastroenterology |
Experience | 34 Years |
Location | 500 W Broadway St, Missoula, Montana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356385991 | NPI | - | NPPES |
5825041 | Medicaid | VA | |
327082 | Other | VA | ANTHEM |
8905530 | Medicaid | NC | |
15750 | Other | VA | OPTIMA |
1659563799 | Other | VA | GROUP NPI |
100012482 | Other | VA | MEDICARE RR |
5426240 | Other | VA | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 0101059226 (Virginia) | Secondary |
207RG0100X | Internal Medicine - Gastroenterology | 56022 (Montana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St. Patrick Hospital | Missoula, MT | Hospital |
Community Medical Center | Missoula, MT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Montana Gastroenterology, Pllc | 7618396318 | 15 |
Entity Name | Montana Gastroenterology, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821612946 PECOS PAC ID: 7618396318 Enrollment ID: O20200930000358 |
Mailing Address | Practice Location Address |
---|---|
Jeff R Willis, MD Po Box 7609, Missoula, MT 59807-7609 Ph: (406) 721-5600 | Jeff R Willis, MD 500 W Broadway St, Missoula, MT 59802-4008 Ph: (406) 721-5600 |
Mr. George Bandow, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 2809 Great Northern Loop, Suite 200, Missoula, MT 59808 Phone: 406-541-7139 Fax: 406-541-7143 | |
Simone Musco, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 500 W Broadway St, Ste 320, Missoula, MT 59802 Phone: 406-329-5615 | |
Rolf H O Holle, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 1782 Elison Ln Unit 3, Missoula, MT 59802 Phone: 406-544-1871 | |
John David Anthony Lakatua, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 500 West Broadway, Missoula, MT 59802 Phone: 406-721-5600 Fax: 406-721-3907 | |
Mr. Curtis G Wickre, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 500 W Broadway St, 4th Floor, Missoula, MT 59802 Phone: 406-327-1900 | |
Dr. Charlotte Nelson, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 500 W Broadway St, Missoula, MT 59802 Phone: 406-327-1613 | |
Michele A Danicich, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 900 N Orange St Ste 304, Missoula, MT 59802 Phone: 406-329-5781 Fax: 406-327-3331 |