Dr Robert A Willis, MD is a medicare enrolled "Otolaryngology" physician in Madisonville, Kentucky. He graduated from medical school in 1983 and has 43 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Sanford Health Of Northern Minnesota, Alaska Native Tribal Health Consortium, Bristol Bay Area Health Corporation and his current practice location is
800 Hospital Dr, Madisonville, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(270) 326-4800.
Dr Robert A Willis is licensed to practice in Kentucky (license number 49641) 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 1225033434.
Physician's Profile
| Full Name | Dr Robert A Willis |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 43 Years |
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| Location | 800 Hospital Dr, Madisonville, Kentucky |
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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. |
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Medical Education and Training:
- Dr Robert A Willis graduated from medical school in 1983
NPI Data:
- NPI Number: 1225033434
- Provider Enumeration Date: 06/15/2005
- Last Update Date: 03/16/2026
Medicare PECOS Information:
- PECOS PAC ID: 5991705618
- Enrollment ID: I20260330001049
Medical Identifiers
Medical identifiers for Dr Robert A Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225033434 | NPI | - | NPPES |
| 81658 | Other | TN | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Y00000X | Otolaryngology | 86684 (South Carolina) | Secondary |
| 207Y00000X | Otolaryngology | 81887 (Minnesota) | Secondary |
| 207Y00000X | Otolaryngology | 036158466 (Illinois) | Secondary |
| 207Y00000X | Otolaryngology | MD454555 (Pennsylvania) | Secondary |
| 207Y00000X | Otolaryngology | 49641 (Kentucky) | Primary |
| 207Y00000X | Otolaryngology | M00000018696 (Tennessee) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Sanford Health Of Northern Minnesota | 5597725168 | 349 |
| Alaska Native Tribal Health Consortium | 6709780265 | 605 |
| Bristol Bay Area Health Corporation | 5890699920 | 114 |
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. Dr Robert A Willis allows following entities to bill medicare on his behalf.
| Entity Name | Sanford Health of Northern Minnesota |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770849697
PECOS PAC ID: 5597725168
Enrollment ID: O20041025000442 |
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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. Dr Robert A 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 |
|---|
Dr Robert A Willis, MD
1034 Golf Club Cir W,
Hendersonville, TN 37075-8890
Ph: (615) 347-7121 | Dr Robert A Willis, MD
800 Hospital Dr,
Madisonville, KY 42431-1658
Ph: (270) 326-4800 |
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