| Dakotah Willis, PA-C | |
|
657 Skyline Dr, Jackson, TN 38301-3907 | |
| (731) 541-2250 | |
| Not Available |
| Full Name | Dakotah Willis |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 657 Skyline Dr, Jackson, Tennessee |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053005959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5329 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jackson-madison County General Hospital | Jackson, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| West Tennessee Medical Group Inc | 3971781006 | 190 |
| Entity Name | West Tennessee Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053615955 PECOS PAC ID: 3971781006 Enrollment ID: O20110621000009 |
| Entity Name | Family Care Center LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124756085 PECOS PAC ID: 5991064420 Enrollment ID: O20230501001893 |
| Mailing Address | Practice Location Address |
|---|---|
| Dakotah Willis, PA-C 657 Skyline Dr, Jackson, TN 38301-3907 Ph: Not Available | Dakotah Willis, PA-C 657 Skyline Dr, Jackson, TN 38301-3907 Ph: (731) 541-2250 |
Adam Boyd Vaughn, Physician Assistant Medicare: Medicare Enrolled Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-541-5000 |
Morgan Janae Mason, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-541-5000 |
Mrs. Stephanie R Little, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2863 Highwy 45 Byp, Jackson, TN 38305 Phone: 731-422-0213 Fax: 731-422-0410 |
Allie Rachel Mcfarland, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 616 W Forest Ave, Jackson, TN 38301 Phone: 872-231-3162 |
Erick Stafford, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 30 Sandstone Cir, Jackson, TN 38305 Phone: 731-240-1695 Fax: 731-240-1694 |
Bayley Shields, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 111 Stonebridge Blvd, Jackson, TN 38305 Phone: 731-613-3334 |
Lauren Schultz, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 150 Murray Guard Dr, Jackson, TN 38305 Phone: 731-201-2798 |