Dr Emanuel Willis, DPM is a medicare enrolled "Podiatrist - Foot Surgery" provider in Sumter, South Carolina. He went to William M. Scholl College Of Podiatric Medicine and graduated in 1986 and has 38 years of diverse experience with area of expertise as Podiatry. His current practice location is
2630a Hardee Cv, Sumter, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(803) 469-9255.
Dr Emanuel Willis is licensed to practice in South Carolina (license number 88) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1255392064.
Healthcare Provider's Profile
Full Name | Dr Emanuel Willis |
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Gender | Male |
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Speciality | Podiatry |
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Experience | 38 Years |
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Location | 2630a Hardee Cv, Sumter, South Carolina |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Emanuel Willis attended and graduated from William M. Scholl College Of Podiatric Medicine in 1986
NPI Data:
- NPI Number: 1255392064
- Provider Enumeration Date: 03/31/2006
- Last Update Date: 01/23/2010
Medicare PECOS Information:
- PECOS PAC ID: 8527044759
- Enrollment ID: I20100812000548
Medical Identifiers
Medical identifiers for Dr Emanuel Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255392064 | NPI | - | NPPES |
GP9925 | Medicaid | SC | |
PD0886 | Medicaid | SC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213E00000X | Podiatrist | 88 (South Carolina) | Secondary |
213ES0131X | Podiatrist - Foot Surgery | 88 (South Carolina) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Emanuel Willis allows following entities to bill medicare on his behalf.
Provider Name | Sumter Podiatry Services, Pa |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1861520157 PECOS PAC ID: 3971575424 Enrollment ID: O20040806000443 |
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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. Dr Emanuel 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 |
Dr Emanuel Willis, DPM 2620 Hardee Cv, Sumter, SC 29150-1893 Ph: (803) 469-9255 | Dr Emanuel Willis, DPM 2630a Hardee Cv, Sumter, SC 29150-1893 Ph: (803) 469-9255 |
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