| Walter Lewis Willis, MD | |
|
1314 19th Ave, Meridian, MS 39301-4116 | |
| (601) 703-9260 | |
| (601) 703-4050 |
| Full Name | Walter Lewis Willis |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 40 Years |
| Location | 1314 19th Ave, Meridian, Mississippi |
| 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 |
|---|---|---|---|
| 1346286598 | NPI | - | NPPES |
| 00113996 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 11440 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Choctaw Health Center | Philadelphia, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mississippi Band Of Choctaw Indians | 4385546662 | 7 |
| Entity Name | Mississippi Band Of Choctaw Indians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790865780 PECOS PAC ID: 4385546662 Enrollment ID: O20040126000871 |
| Mailing Address | Practice Location Address |
|---|---|
| Walter Lewis Willis, MD Po Box 5183, Meridian, MS 39302-5183 Ph: (601) 703-4282 | Walter Lewis Willis, MD 1314 19th Ave, Meridian, MS 39301-4116 Ph: (601) 703-9260 |
Dr. James Mark Shockley, M.D. Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 2124 14th St, Meridian, MS 39301 Phone: 601-553-6000 Fax: 601-553-6144 | |
Dr. James A. Snyder, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1314 19th Ave, Meridian, MS 39301 Phone: 601-703-9260 Fax: 601-703-4050 | |
Dr. William Meyer, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1102 Constitution Ave, Meridian, MS 39301 Phone: 601-693-2511 Fax: 601-484-3357 | |
James Dean Perkins, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1314 19th Ave, Meridian, MS 39301 Phone: 601-703-9260 Fax: 601-703-4050 | |
Dr. Phillip K Mcdonald, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2124 14th St, Meridian, MS 39301 Phone: 601-553-6000 Fax: 601-553-6115 | |
Misty Nicole Rea, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1314 19th Ave, Meridian, MS 39301 Phone: 601-703-9260 Fax: 601-703-4050 | |
John W Johnston Jr., MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1314 19th Ave, Meridian, MS 39301 Phone: 601-703-4926 Fax: 601-703-4928 |