Dr Michael Willis, DPM in Kingsport, TN - Medicare Podiatry Provider

Dr Michael Willis, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Kingsport, Tennessee. He graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice East Tennessee Podiatry Associates Pllc and his current practice location is 1 Sheridan Sq Ste 102, Kingsport, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 722-5200.

Dr Michael Willis is licensed to practice in Tennessee (license number DPMOOOOOOO883) 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 1780032706.

Contact Information

	Dr Michael Willis, DPM
	1 Sheridan Sq Ste 102, Kingsport, TN 37660-7398
	(423) 722-5200
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Michael Willis
Gender	Male
Speciality	Podiatry
Experience	9 Years
Location	1 Sheridan Sq Ste 102, Kingsport, Tennessee
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 Michael Willis graduated from medical school in 2015

NPI Data:

NPI Number: 1780032706
Provider Enumeration Date: 05/31/2016
Last Update Date: 06/22/2021

Medicare PECOS Information:

PECOS PAC ID: 2466883384
Enrollment ID: I20210813000241

Medical Identifiers

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

Identifier	Type	State	Issuer
1780032706	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213ES0103X	Podiatrist - Foot & Ankle Surgery	DPMOOOOOOO883 (Tennessee)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
East Tennessee Podiatry Associates Pllc	5597169599	2

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 Michael Willis allows following entities to bill medicare on his behalf.

Provider Name	East Tennessee Podiatry Associates Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1669054318 PECOS PAC ID: 5597169599 Enrollment ID: O20210813000179

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 Michael 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 Michael Willis, DPM 1 Sheridan Sq Ste 102, Kingsport, TN 37660-7398 Ph: (423) 722-5200	Dr Michael Willis, DPM 1 Sheridan Sq Ste 102, Kingsport, TN 37660-7398 Ph: (423) 722-5200

Reviews and Comments

Podiatrist in Kingsport, TN

Paul Benjamin Schodowski, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2004 American Way, Suite 115, Kingsport, TN 37660 Phone: 423-246-8840 Fax: 423-246-8559
Benjamin Potter, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 430 W Ravine Rd, Kingsport, TN 37660 Phone: 423-245-3161
Ann Wolford, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1 Sheridan Sq Ste 102, Kingsport, TN 37660 Phone: 423-722-5200
Dr. Joe Howard Owens, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2012 Brookside Dr, Suite 9, Kingsport, TN 37660 Phone: 423-392-6430 Fax: 423-392-6432
Dr. Mark C Baxter, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 421 W Stone Dr, Suite 6, Kingsport, TN 37660 Phone: 423-245-4100 Fax: 423-245-0463
Frontier Foot & Ankle Specialists Podiatrist Medicare: Medicare Enrolled Practice Location: 1 Sheridan Sq Ste 102, Kingsport, TN 37660 Phone: 423-722-5200
Chad Lawrence, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 105 W Stone Dr Ste 4b, Kingsport, TN 37660 Phone: 423-578-1560

Dr Michael Willis, DPM - Medicare Podiatrist in Kingsport, TN