Joseph Willis, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Metairie, Louisiana. He went to Louisiana State University School Of Medicine In New Orleans and graduated in 2012 and has 13 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Integrated Dermatology Of Ponchatoula Llc and his current practice location is
4101 Henican Pl, Metairie, Louisiana. You can reach out to his office (for appointments etc.) via phone at
(504) 621-2929.
Joseph Willis is licensed to practice in * (Not Available) (license number ) 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 1407113079.
Physician's Profile
| Full Name | Joseph Willis |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 13 Years |
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| Location | 4101 Henican Pl, Metairie, Louisiana |
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| 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:
- Joseph Willis attended and graduated from Louisiana State University School Of Medicine In New Orleans in 2012
NPI Data:
- NPI Number: 1407113079
- Provider Enumeration Date: 04/19/2012
- Last Update Date: 05/27/2025
Medicare PECOS Information:
- PECOS PAC ID: 8426359548
- Enrollment ID: I20250527000518
Medical Identifiers
Medical identifiers for Joseph Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1407113079 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207N00000X | Dermatology | MD.206880 (Louisiana) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Integrated Dermatology Of Ponchatoula Llc | 6103126974 | 10 |
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. Joseph Willis allows following entities to bill medicare on his behalf.
| Entity Name | Integrated Dermatology Of Ponchatoula Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508234600 PECOS PAC ID: 6103126974 Enrollment ID: O20151130001653 |
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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. Joseph 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 |
Joseph Willis, MD 4101 Henican Pl, Metairie, LA 70003-1311 Ph: (504) 621-2929 | Joseph Willis, MD 4101 Henican Pl, Metairie, LA 70003-1311 Ph: (504) 621-2929 |
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