Ted S Willis, MD - Medicare Diagnostic Radiology in Edina, MN

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Ted S Willis, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Edina, Minnesota. He graduated from medical school in 1986 and has 39 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Palm Desert Radiology Medical Group Inc, Sutter Bay Medical Foundation, University Of Texas Health Science Center At Tyler-facility-physician, Virtual Radiologic Professionals Of Texas I, Pa, Memphis Physicians Radiological Group Pc and his current practice location is 3600 Minnesota Dr Ste 800, Edina, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 595-1301.

Ted S Willis is licensed to practice in Texas (license number H2908) 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 1548236235.

Contact Information

Ted S Willis, MD
3600 Minnesota Dr Ste 800,
Edina, MN 55435-7915
(952) 595-1301
(612) 294-4903

Map and Direction




Physician's Profile

Full NameTed S Willis
GenderMale
SpecialityDiagnostic Radiology
Experience39 Years
Location3600 Minnesota Dr Ste 800, Edina, Minnesota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ted S Willis graduated from medical school in 1986
  NPI Data:
  • NPI Number: 1548236235
  • Provider Enumeration Date: 02/23/2006
  • Last Update Date: 08/20/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0143287896
  • Enrollment ID: I20091027000899

Medical Identifiers

Medical identifiers for Ted S Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548236235NPI-NPPES
TIN PLUS113OtherTXTRICARE
134481406MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology MD25843 (Maine)Secondary
2085R0202XRadiology - Diagnostic Radiology H2908 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
The University Of Texas Health Science Center At TylerTyler, TXHospital
Cox Medical CentersSpringfield, MOHospital
Portsmouth Regional HospitalPortsmouth, NHHospital
St Lukes Regional Medical CenterSioux city, IAHospital
King's Daughters' Medical CenterAshland, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Palm Desert Radiology Medical Group Inc0749173789121
Sutter Bay Medical Foundation42845387783318
University Of Texas Health Science Center At Tyler-facility-physician4981699220104
Virtual Radiologic Professionals Of Texas I, Pa620483876638
Memphis Physicians Radiological Group Pc983012373655

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. Ted S Willis allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Texas Health Science Center At Tyler-facility-physician
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063400778
PECOS PAC ID: 4981699220
Enrollment ID: O20040416001048
Entity NameVirtual Radiologic Professionals Of Texas I, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184725228
PECOS PAC ID: 6204838766
Enrollment ID: O20070213000111
Entity NameRadiology Alliance Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861478489
PECOS PAC ID: 1850280470
Enrollment ID: O20161122000313
Entity NamePalm Desert Radiology Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124079868
PECOS PAC ID: 0749173789
Enrollment ID: O20190315001958
Entity NameMemphis Physicians Radiological Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134231574
PECOS PAC ID: 9830123736
Enrollment ID: O20191008003267
Entity NameSutter Bay Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013950807
PECOS PAC ID: 4284538778
Enrollment ID: O20221130002227
Entity NameClaremont Imaging Associates A Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619068921
PECOS PAC ID: 9133170442
Enrollment ID: O20240725000063
Entity NameKern County Hospital Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376623538
PECOS PAC ID: 4688964521
Enrollment ID: O20250424000495
Entity NameRegents Of The University Of California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558463927
PECOS PAC ID: 3577476761
Enrollment ID: O20250514001320

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. Ted S 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 AddressPractice Location Address
Ted S Willis, MD
3600 Minnesota Dr Ste 800,
Edina, MN 55435-7915

Ph: (952) 595-1301		Ted S Willis, MD
3600 Minnesota Dr Ste 800,
Edina, MN 55435-7915

Ph: (952) 595-1301

Reviews and Comments


Radiology Doctors in Edina, MN

Christopher Calixte, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3600 Minnesota Dr Ste 800, Edina, MN 55435
Phone: 952-595-1100    Fax: 612-294-4903
Paul D Guisler, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3600 Minnesota Dr Ste 800, Edina, MN 55435
Phone: 952-595-1301    Fax: 612-294-4903
Rati Narendra Patel, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3600 Minnesota Dr Ste 800, Edina, MN 55435
Phone: 952-595-1301    Fax: 612-294-4903
Susanne S. Kim, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3600 Minnesota Dr Ste 800, Edina, MN 55435
Phone: 952-595-1301    Fax: 612-294-4903
Gwendolyn Durgin, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3600 Minnesota Dr Ste 800, Edina, MN 55435
Phone: 952-595-1301    Fax: 612-294-4903
Dr. Larry Scott Kessler, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3600 Minnesota Dr Ste 800, Edina, MN 55435
Phone: 952-595-1301    Fax: 612-294-4903
Lawrence S. Liebman, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3600 Minnesota Dr, Edina, MN 55435
Phone: 952-595-1301    Fax: 612-294-4903

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.