Shannon Teresa Willis, MD in Lawrenceville, GA

Shannon Teresa Willis, MD is a medicare enrolled "Hospitalist" physician in Lawrenceville, Georgia. She went to Meharry Medical College School Of Medicine and graduated in 2010 and has 16 years of diverse experience with area of expertise as Hospitalist. She is a member of the group practice Kings Daughters Medical Specialties Inc, The Southeast Permanente Medical Group and her current practice location is 1000 Medical Center Blvd, Ground Floor Gme Office, Lawrenceville, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 593-1389.

Shannon Teresa Willis is licensed to practice in Georgia (license number 075178) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1487971263.

Contact Information

	Shannon Teresa Willis, MD
	1000 Medical Center Blvd, Ground Floor Gme Office, Lawrenceville, GA 30046-7694
	(706) 593-1389
	Not Available

Map and Direction

Physician's Profile

Full Name	Shannon Teresa Willis
Gender	Female
Speciality	Hospitalist
Experience	16 Years
Location	1000 Medical Center Blvd, Lawrenceville, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Shannon Teresa Willis attended and graduated from Meharry Medical College School Of Medicine in 2010

NPI Data:

NPI Number: 1487971263
Provider Enumeration Date: 05/03/2010
Last Update Date: 06/12/2025

Medicare PECOS Information:

PECOS PAC ID: 6709027436
Enrollment ID: I20170920003232

Medical Identifiers

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

Identifier	Type	State	Issuer
1487971263	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	075178 (Georgia)	Secondary
207R00000X	Internal Medicine	MD29422 (Maine)	Secondary
208M00000X	Hospitalist	MD29422 (Maine)	Secondary
208M00000X	Hospitalist	075178 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
King's Daughters' Medical Center	Ashland, KY	Hospital
Three Rivers Medical Center	Louisa, KY	Hospital
Maine Medical Center	Portland, ME	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kings Daughters Medical Specialties Inc	6103968029	391
The Southeast Permanente Medical Group	6204829013	812

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. Shannon Teresa Willis allows following entities to bill medicare on her behalf.

Entity Name	St. Claire Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821168535 PECOS PAC ID: 4486559085 Enrollment ID: O20031205000579

Entity Name	Kings Daughters Medical Specialties Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710215736 PECOS PAC ID: 6103968029 Enrollment ID: O20100217000538

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. Shannon Teresa 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
Shannon Teresa Willis, MD 1000 Medical Center Blvd, Ground Floor Gme Office, Lawrenceville, GA 30046-7694 Ph: (706) 593-1389	Shannon Teresa Willis, MD 1000 Medical Center Blvd, Ground Floor Gme Office, Lawrenceville, GA 30046-7694 Ph: (706) 593-1389

Reviews and Comments

Hospitalist Doctors in Lawrenceville, GA

Vasundhara Cheekati, M.D. Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 404-778-3914 Fax: 404-778-5495
Anteneh Birru, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 678-312-3273
Imran Dosani, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 595 Hurricane Shoals Rd Nw Ste 100, Lawrenceville, GA 30046 Phone: 404-645-7150 Fax: 404-645-7177
Dr. Michael Warren Gower, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 678-312-1000 Fax: 678-312-3282
Amber Y Kuk, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 678-312-3294 Fax: 678-312-3282
Deepu Daniel, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 575 Professional Dr Ste 290, Lawrenceville, GA 30046 Phone: 770-417-8170 Fax: 855-530-3640
Dr. Paul Skokanic, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 678-312-3273 Fax: 678-312-3282

Shannon Teresa Willis, MD - Medicare Hospitalist in Lawrenceville, GA