Ms Konneen Willis, PA in Bountiful, UT - Medicare Physician Assistant

Ms Konneen Willis, PA is a medicare enrolled "Physician Assistant - Medical" in Bountiful, Utah. She graduated from nursing school in 2004 and has 20 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Canyon Ridge Pain And Spine Pc and her current practice location is 1551 Renaissance Towne Dr, Ste 460, Bountiful, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 294-7246.

Ms Konneen Willis is licensed to practice in Utah (license number 107354-1206) 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 1861510240.

Contact Information

	Ms Konneen Willis, PA
	1551 Renaissance Towne Dr, Ste 460, Bountiful, UT 84010-7667
	(801) 294-7246
	(801) 294-2560

Map and Direction

Provider's Profile

Full Name	Ms Konneen Willis
Gender	Female
Speciality	Physician Assistant
Experience	20 Years
Location	1551 Renaissance Towne Dr, Bountiful, Utah
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:

Ms Konneen Willis graduated from nursing school in 2004

NPI Data:

NPI Number: 1861510240
Provider Enumeration Date: 03/26/2007
Last Update Date: 02/25/2021

Medicare PECOS Information:

PECOS PAC ID: 4587765813
Enrollment ID: I20070731000062

Medical Identifiers

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

Identifier	Type	State	Issuer
1861510240	NPI	-	NPPES
1861510240	Medicaid	UT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	107354-1206 (Utah)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Canyon Ridge Pain And Spine Pc	8820262025	2

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. Ms Konneen 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
Ms Konneen Willis, PA 1551 Renaissance Towne Dr, Ste 540, Bountiful, UT 84010-7678 Ph: (801) 408-7660	Ms Konneen Willis, PA 1551 Renaissance Towne Dr, Ste 460, Bountiful, UT 84010-7667 Ph: (801) 294-7246

Reviews and Comments

Physician Assistant Nurses in Bountiful, UT

David Elden Schow, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 440 Medical Dr, Bountiful, UT 84010 Phone: 801-298-9100 Fax: 801-298-2238
Aubrey Westwood, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1057 S 1300 E, Bountiful, UT 84010 Phone: 801-888-0929
Mr. Sean L. Webster Pa-c, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 557 W 2600 S, Bountiful, UT 84010 Phone: 801-298-9155
David Buhler, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 380 N 200 W Ste 209, Bountiful, UT 84010 Phone: 801-298-1300
David L Badham, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 557 W 2600 S, Bountiful, UT 84010 Phone: 801-296-5805 Fax: 801-298-9156
Melissa Yamashiro, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 620 Medical Dr, Suite 205, Bountiful, UT 84010 Phone: 801-298-0057 Fax: 801-298-9765
Edward Guy Hunter, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 380 N 200 W, Suite 209, Bountiful, UT 84010 Phone: 801-298-1300 Fax: 801-296-6199

Ms Konneen Willis, PA - Medicare Physician Assistant in Bountiful, UT