| Monte Revell Willis, | |
|
425 W 19th St Ste D&e, Panama City, FL 32405-4659 | |
| (850) 818-0220 | |
| (850) 818-0156 |
| Full Name | Monte Revell Willis |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 2 Years |
| Location | 425 W 19th St Ste D&e, Panama City, Florida |
| 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 |
|---|---|---|---|
| 1780425892 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dermatology Associates Of Tallahassee Pa | 6608775499 | 39 |
| Entity Name | Dermatology Associates of Tallahassee PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295842672 PECOS PAC ID: 6608775499 Enrollment ID: O20031231000062 |
| Mailing Address | Practice Location Address |
|---|---|
| Monte Revell Willis, Po Box 13834, Tallahassee, FL 32317-3834 Ph: (850) 205-6232 | Monte Revell Willis, 425 W 19th St Ste D&e, Panama City, FL 32405-4659 Ph: (850) 818-0220 |
Laurie K Boehm, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2428 Jenks Ave, Panama City, FL 32405 Phone: 850-215-6008 Fax: 850-215-6020 |
Mr. Daniel Ray Prentice, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 201 Forest Park Cir, Panama City, FL 32405 Phone: 850-248-7777 Fax: 850-248-7779 |
Mrs. Ashley Beth Devries, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 114 Airport Rd Ste B, Panama City, FL 32405 Phone: 850-785-0788 Fax: 850-785-1066 |
Morgan Birkel, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1931 Martin Luther King Jr Blvd, Panama City, FL 32405 Phone: 850-740-5010 Fax: 850-804-1705 |
Erin Elizabeth Simonds, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 621 W Baldwin Rd, Suite A, Panama City, FL 32405 Phone: 850-747-3661 |
Jenna R Hurley, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 80 Doctors Dr, Panama City, FL 32405 Phone: 850-785-8557 |
Olivia Taylor Perdue, PA-S Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3220 Heartleaf Ave E, Panama City, FL 32405 Phone: 850-381-6997 |