| Ted S Willis, MD | |
|
3600 Minnesota Dr Ste 800, Edina, MN 55435-7915 | |
| (952) 595-1301 | |
| (612) 294-4903 |
| Full Name | Ted S Willis |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 40 Years |
| Location | 3600 Minnesota Dr Ste 800, Edina, Minnesota |
| 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 |
|---|---|---|---|
| 1548236235 | NPI | - | NPPES |
| TIN PLUS113 | Other | TX | TRICARE |
| 134481406 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD25843 (Maine) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | H2908 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Portsmouth Regional Hospital | Portsmouth, NH | Hospital |
| King's Daughters' Medical Center | Ashland, KY | Hospital |
| Cox Medical Centers | Springfield, MO | Hospital |
| University Of Texas Health Science Center At Tyler | Tyler, TX | Hospital |
| Cox Medical Center Branson | Branson, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Radiology Associates Of Burlington County P A | 7012954381 | 153 |
| South Jersey Radiology Associates P A | 9133115587 | 202 |
| University Of Texas Health Science Center At Tyler-facilty-physician | 4981699220 | 118 |
| Palm Desert Radiology Medical Group Inc | 0749173789 | 125 |
| Radiology Alliance Pc | 1850280470 | 449 |
| Regents Of The University Of California | 3577476761 | 2047 |
| Sutter Bay Medical Foundation | 4284538778 | 3783 |
| Virtual Radiologic Professionals Of Texas I, Pa | 6204838766 | 35 |
| Englewood Radiologic Group P A | 6901852300 | 131 |
| Memphis Physicians Radiological Group Pc | 9830123736 | 79 |
| Houlton Regional Hospital | 0042127946 | 59 |
| Entity Name | University of Texas Health Science Center at Tyler-facilty-physician |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063400778 PECOS PAC ID: 4981699220 Enrollment ID: O20040416001048 |
| Entity Name | Virtual Radiologic Professionals of Texas I, PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184725228 PECOS PAC ID: 6204838766 Enrollment ID: O20070213000111 |
| Entity Name | Radiology Alliance PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861478489 PECOS PAC ID: 1850280470 Enrollment ID: O20161122000313 |
| Entity Name | Palm Desert Radiology Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124079868 PECOS PAC ID: 0749173789 Enrollment ID: O20190315001958 |
| Entity Name | Memphis Physicians Radiological Group PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134231574 PECOS PAC ID: 9830123736 Enrollment ID: O20191008003267 |
| Entity Name | Englewood Radiologic Group P a |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639136914 PECOS PAC ID: 6901852300 Enrollment ID: O20200813001614 |
| Entity Name | Sutter Bay Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20221130002227 |
| Entity Name | Spectrum Healthcare Partners PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710993159 PECOS PAC ID: 7618871245 Enrollment ID: O20230220000855 |
| Entity Name | Claremont Imaging Associates a Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619068921 PECOS PAC ID: 9133170442 Enrollment ID: O20240725000063 |
| Entity Name | Kern County Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376623538 PECOS PAC ID: 4688964521 Enrollment ID: O20250424000495 |
| Entity Name | Regents of the University of California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558463927 PECOS PAC ID: 3577476761 Enrollment ID: O20250514001320 |
| Entity Name | Radiology Associates of Burlington County P a |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255385183 PECOS PAC ID: 7012954381 Enrollment ID: O20250527001223 |
| Entity Name | South Jersey Radiology Associates P a |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477551653 PECOS PAC ID: 9133115587 Enrollment ID: O20250528002473 |
| Entity Name | Monadnock Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063364768 PECOS PAC ID: 7416933031 Enrollment ID: O20260624002183 |
| Mailing Address | Practice 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 |
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 |
Krishna Vaidyanathan Iyer, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3600 Minnesota Dr Ste 800, Edina, MN 55435 Phone: 952-595-1100 |
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 |
Robert L Edwards, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3600 Minnesota Dr Ste 800, Edina, MN 55435 Phone: 952-595-1100 |