| Robert Grant Willis, MD | |
|
1000 Blythe Blvd, Charlotte, NC 28203-5812 | |
| (334) 590-0762 | |
| Not Available |
| Full Name | Robert Grant Willis |
|---|---|
| Gender | Male |
| Speciality | Thoracic Surgery |
| Experience | 8 Years |
| Location | 1000 Blythe Blvd, Charlotte, North Carolina |
| 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 |
|---|---|---|---|
| 1295268829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 93092 (South Carolina) | Secondary |
| 208600000X | Surgery | 226854 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Interim Healthcare Of The Upstate | Greenville, SC | Home health agency |
| St Francis-downtown | Greenville, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bon Secours Medical Group Greenville Specialty Care Llc | 1850779976 | 242 |
| Entity Name | Bon Secours Medical Group Greenville Specialty Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821679580 PECOS PAC ID: 1850779976 Enrollment ID: O20220602000070 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Grant Willis, MD 1000 Blythe Blvd, Charlotte, NC 28203-5812 Ph: (334) 590-0762 | Robert Grant Willis, MD 1000 Blythe Blvd, Charlotte, NC 28203-5812 Ph: (334) 590-0762 |
Dr. Tuan Hoai Pham, M.D., PHD Surgery Medicare: May Accept Medicare Assignments Practice Location: 1718 E 4th St Ste 807, Charlotte, NC 28204 Phone: 980-488-9630 Fax: 980-488-9635 | |
Dr. John Gordon Morrison, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2015 Randolph Rd, Suite 201, Charlotte, NC 28207 Phone: 704-333-1259 Fax: 704-333-0371 | |
Michael Passeri, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1025 Morehead Medical Dr, Suite 600, Charlotte, NC 28204 Phone: 704-355-8816 | |
Jeko Metodiev Madjarov, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1237 Harding Pl, Ste 3100, Charlotte, NC 28204 Phone: 704-373-0212 | |
Dr. Mark Aaron Kuzich, D.O. Surgery Medicare: Medicare Enrolled Practice Location: 1918 Randolph Rd Ste 300, Charlotte, NC 28207 Phone: 704-333-0741 Fax: 704-333-3356 | |
Benjamin Yglesias, Surgery Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2000 | |
Jason Shade Burgess, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1918 Randolph Rd Ste 300, Charlotte, NC 28207 Phone: 704-333-0741 Fax: 704-333-3356 |