Kent Willis, DO in Pleasant Grove, UT - Medicare Family Practice

Kent Willis, DO is a medicare enrolled "Family Medicine" physician in Pleasant Grove, Utah. He graduated from medical school in 2015 and has 10 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Premier Family Medical and his current practice location is 830 N 2000 W, Pleasant Grove, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 756-3511.

Kent Willis is licensed to practice in Utah (license number 10701125-1204) 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 1114306131.

Contact Information

	Kent Willis, DO
	830 N 2000 W, Pleasant Grove, UT 84062
	(801) 756-3511
	Not Available

Map and Direction

Physician's Profile

Full Name	Kent Willis
Gender	Male
Speciality	Family Practice
Experience	10 Years
Location	830 N 2000 W, Pleasant Grove, Utah
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:

Kent Willis graduated from medical school in 2015

NPI Data:

NPI Number: 1114306131
Provider Enumeration Date: 05/22/2015
Last Update Date: 07/13/2018

Medicare PECOS Information:

PECOS PAC ID: 1850667007
Enrollment ID: I20180711003283

Medical Identifiers

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

Identifier	Type	State	Issuer
1114306131	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208M00000X	Hospitalist	10701125-1204 (Utah)	Secondary
207Q00000X	Family Medicine	10701125-1204 (Utah)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
American Fork Hospital	American fork, UT	Hospital
Orem Community Hospital	Orem, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Premier Family Medical	7416197785	80

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

Entity Name	Premier Family Medical
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750725735 PECOS PAC ID: 7416197785 Enrollment ID: O20130710000079

Entity Name	Utah Regional Hospitalists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962821223 PECOS PAC ID: 4789807165 Enrollment ID: O20140604000236

Entity Name	Santibanez Aguirre Slc Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609334911 PECOS PAC ID: 0345582383 Enrollment ID: O20190423002734

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. Kent 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
Kent Willis, DO 830 N 2000 W, Pleasant Grove, UT 84062-4047 Ph: (801) 756-3511	Kent Willis, DO 830 N 2000 W, Pleasant Grove, UT 84062 Ph: (801) 756-3511

Reviews and Comments

Family Medicine Doctors in Pleasant Grove, UT

Dr. Jill Bergeson Barkdull, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 830 N 2000 W, Pleasant Grove, UT 84062 Phone: 801-756-1705 Fax: 801-443-1164
Marshall F Willis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 830 N 2000 W, Pleasant Grove, UT 84062 Phone: 801-756-3511 Fax: 801-756-1705
Dr. Sean Cameron Doyle, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 830 N 2000 W, Pleasant Grove, UT 84062 Phone: 801-756-3511 Fax: 801-443-1164
Dr. Brannick Barton Riggs, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 360 S 1300 W, Pleasant Grove, UT 84062 Phone: 385-440-1400 Fax: 801-845-9965
Scott L Smith, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 830 N 2000 W, Pleasant Grove, UT 84062 Phone: 801-756-3511 Fax: 801-443-1164
Sean Patrick Rodgerson Ii, FNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1474 W 10 S, Pleasant Grove, UT 84062 Phone: 928-502-9890
Elwood J Corry Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 830 N 2000 W, Pleasant Grove, UT 84062 Phone: 801-756-3511 Fax: 801-443-1164

Kent Willis, DO - Medicare Family Practice in Pleasant Grove, UT