Dr Samuel Andersen Willis, MD in Augusta, GA - Medicare Emergency Medicine

Dr Samuel Andersen Willis, MD is a medicare enrolled "Emergency Medicine" physician in Augusta, Georgia. His current practice location is 3651 Wheeler Rd, Augusta, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 651-6080.

Dr Samuel Andersen Willis is licensed to practice in Georgia (license number 80520) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1881045060.

Contact Information

	Dr Samuel Andersen Willis, MD
	3651 Wheeler Rd, Augusta, GA 30909-6426
	(706) 651-6080
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Samuel Andersen Willis
Gender	Male
Speciality	Emergency Medicine
Location	3651 Wheeler Rd, Augusta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881045060
Provider Enumeration Date: 06/28/2016
Last Update Date: 07/22/2022

Medicare PECOS Information:

PECOS PAC ID: 8022340892
Enrollment ID: I20191028002271

Medical Identifiers

Medical identifiers for Dr Samuel Andersen Willis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881045060	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	80520 (Georgia)	Primary

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 Samuel Andersen Willis allows following entities to bill medicare on his behalf.

Entity Name	Acs Primary Care Physicians - Southeast Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861430555 PECOS PAC ID: 5193620714 Enrollment ID: O20040901000766

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 Samuel Andersen 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 Samuel Andersen Willis, MD Po Box 3052, Augusta, GA 30914-3052 Ph: (762) 233-1939	Dr Samuel Andersen Willis, MD 3651 Wheeler Rd, Augusta, GA 30909-6426 Ph: (706) 651-6080

Reviews and Comments

Emergency Medicine Doctors in Augusta, GA

Stephen A. Shiver, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-4951 Fax: 706-721-7941
Dr. Anuj Pankaj Jani, BMBS Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-0211
Sunita Jena, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-2613
Dr. Joshua Berk, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 603-988-9611
Dr. Kasci Deanne Pelucarte, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 803-634-6545
Jedidiah Amos Ballard, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-724-6100
Richard B. Schwartz, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-4951 Fax: 706-721-7941

Dr Samuel Andersen Willis, MD - Medicare Emergency Medicine in Augusta, GA