Dr Henry Sk Willis Iv, DDS - Medicare Dentist in Bonners Ferry, ID

Dr Henry Sk Willis Iv, DDS is a medicare enrolled "Dentist - General Practice" provider in Bonners Ferry, Idaho. His current practice location is 6811 Main St, Suite A, Bonners Ferry, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 267-6454.

Dr Henry Sk Willis Iv is licensed to practice in Idaho (license number D-3784) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1578554465.

Contact Information

Dr Henry Sk Willis Iv, DDS
6811 Main St, Suite A,
Bonners Ferry, ID 83805-8649
(208) 267-6454
Not Available



Healthcare Provider's Profile

Full NameDr Henry Sk Willis Iv
GenderMale
SpecialityDentist - General Practice
Location6811 Main St, Bonners Ferry, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1578554465
  • Provider Enumeration Date: 10/31/2005
  • Last Update Date: 07/12/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 6103138722
  • Enrollment ID: I20150709002288

Medical Identifiers

Medical identifiers for Dr Henry Sk Willis Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578554465NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice D-3784 (Idaho)Primary

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 Henry Sk Willis Iv 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 AddressPractice Location Address
Dr Henry Sk Willis Iv, DDS
6811 Main St, Suite A,
Bonners Ferry, ID 83805-8649

Ph: (208) 267-6454
Dr Henry Sk Willis Iv, DDS
6811 Main St, Suite A,
Bonners Ferry, ID 83805-8649

Ph: (208) 267-6454

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› Verified 4 days ago


Dentist in Bonners Ferry, ID

Jessica Faye Horricks, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 6615 Commanche, Bonners Ferry, ID 83805
Phone: 208-263-1718    Fax: 208-263-7739
Dr. Taylor Geyman, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 6503 Harrison St, Bonners Ferry, ID 83805
Phone: 208-267-0203    Fax: 208-943-3161
Emilee Hernandez, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 6615 Comanche St, Bonners Ferry, ID 83805
Phone: 208-267-1718    Fax: 208-267-9197
Douglas James Beazer, D.M.D.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 6526 Main St, Bonners Ferry, ID 83805
Phone: 208-267-7509    
Mr. Adam B Weaver, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 6615 Comanche St, Bonners Ferry, ID 83805
Phone: 208-267-1718    Fax: 907-733-1735
Dr. Mark Heber Beazer, D.M.D
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 6466 Main St, Bonners Ferry, ID 83805
Phone: 208-267-7571    Fax: 208-267-7572

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