| Charlet Willis, PA | |
|
130 University Dr Ste 1300, Marion, OH 43302-1104 | |
| (740) 692-4440 | |
| Not Available |
| Full Name | Charlet Willis |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 130 University Dr Ste 1300, Marion, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144766775 | NPI | - | NPPES |
| 0343586 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 50.005954RX (Ohio) | Primary |
| Entity Name | United Medical Associates PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013972801 PECOS PAC ID: 0345144978 Enrollment ID: O20031125000020 |
| Mailing Address | Practice Location Address |
|---|---|
| Charlet Willis, PA 5400 Frantz Rd Ste 250, Dublin, OH 43016-6102 Ph: (614) 533-6497 | Charlet Willis, PA 130 University Dr Ste 1300, Marion, OH 43302-1104 Ph: (740) 692-4440 |
Mrs. Karen Pauley, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 402 S State St, Marion, OH 43302 Phone: 740-387-4115 Fax: 740-387-9210 |
Kelley Mamede, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 402 S State St, Marion, OH 43302 Phone: 740-387-0650 |
Amanda I Gandert, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1069 Delaware Ave, Suite 205, Marion, OH 43302 Phone: 740-387-4578 |
Jill R Thomas, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1000 Mckinley Park Dr, Marion, OH 43302 Phone: 740-383-8700 Fax: 740-383-8517 |
Franklin R Millard, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 Mckinley Park Dr, Marion, OH 43302 Phone: 740-383-8700 |
Abbie Suzanne Engler, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 278 Barks Rd W, Marion, OH 43302 Phone: 740-383-7080 Fax: 740-386-2824 |
Ms. Elizabeth Ann Hinkel, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1040 Delaware Ave, Marion, OH 43302 Phone: 740-383-7950 Fax: 740-375-8164 |