Edie Willis, PA-C in Los Angeles, CA - Medicare Physician Assistant

Edie Willis, PA-C is a medicare enrolled "Physician Assistant - Medical" in Los Angeles, California. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Usc Care Medical Non-contracted Llc and her current practice location is 1520 San Pablo St Ste 1000, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (323) 442-5100.

Edie Willis is licensed to practice in California (license number PA62067) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1356877328.

Contact Information

	Edie Willis, PA-C
	1520 San Pablo St Ste 1000, Los Angeles, CA 90033-5312
	(323) 442-5100
	Not Available

Map and Direction

Provider's Profile

Full Name	Edie Willis
Gender	Female
Speciality	Physician Assistant
Experience	7 Years
Location	1520 San Pablo St Ste 1000, Los Angeles, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Edie Willis graduated from nursing school in 2017

NPI Data:

NPI Number: 1356877328
Provider Enumeration Date: 05/11/2017
Last Update Date: 03/14/2023

Medicare PECOS Information:

PECOS PAC ID: 4880962778
Enrollment ID: I20230317001819

Medical Identifiers

Medical identifiers for Edie Willis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356877328	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	008351 (Georgia)	Secondary
363AM0700X	Physician Assistant - Medical	PA62067 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Keck Hospital Of Usc	Los angeles, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Usc Care Medical Non-contracted Llc	6901263672	19

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. Edie 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 Address	Practice Location Address
Edie Willis, PA-C Po Box 31309, Los Angeles, CA 90031-0309 Ph: (323) 442-5100	Edie Willis, PA-C 1520 San Pablo St Ste 1000, Los Angeles, CA 90033-5312 Ph: (323) 442-5100

Reviews and Comments

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Edie Willis, PA-C - Medicare Physician Assistant in Los Angeles, CA