| Michael Willis, MD | |
|
1051 Hickory St, Melbourne, FL 32901-1962 | |
| (321) 784-3700 | |
| (321) 784-4090 |
| Full Name | Michael Willis |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 1051 Hickory St, Melbourne, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194888776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | ME60656 (Florida) | Primary |
| Entity Name | Anesthesiology Professional Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902856891 PECOS PAC ID: 4688577141 Enrollment ID: O20040130000927 |
| Entity Name | Innovative Medical Staffing Solutions Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629308713 PECOS PAC ID: 8022149764 Enrollment ID: O20100624000708 |
| Entity Name | Orange City Anesthesia Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972882314 PECOS PAC ID: 2365617016 Enrollment ID: O20111208000641 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Willis, MD 804 Scott Nixon Memorial Dr, Augusta, GA 30907-2464 Ph: (706) 650-0705 | Michael Willis, MD 1051 Hickory St, Melbourne, FL 32901-1962 Ph: (321) 784-3700 |
Dr. Mario A Camps, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1304 Oak St, Melbourne, FL 32901 Phone: 321-723-4723 Fax: 321-727-1448 | |
Raymond Crigger, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1051 Hickory St, Melbourne, FL 32901 Phone: 321-784-3700 Fax: 321-784-4090 | |
Dr. Oscar Jet Webb, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1304 Oak St, Melbourne, FL 32901 Phone: 321-723-4723 Fax: 321-727-1448 | |
Dr. Jeffrey Bothe Gillingham, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1304 Oak St, Melbourne, FL 32901 Phone: 321-723-4723 Fax: 321-727-1448 | |
Dr. John J Harrington, D.O. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1304 Oak St, Melbourne, FL 32901 Phone: 321-723-4723 Fax: 321-727-1448 | |
Dr. John Charles Lydon, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1304 Oak St, Melbourne, FL 32901 Phone: 321-723-4723 Fax: 321-727-1448 | |
Wilfred R Lovelock, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 8040 N Wickham Rd, Melbourne, FL 32940 Phone: 321-757-7272 |