Amanda L Willis, PA in Charlottesville, VA - Medicare Physician Assistant

Amanda L Willis, PA is a medicare enrolled "Physician Assistant" physician in Charlottesville, Virginia. Her current practice location is 1215 Lee St, Charlottesville, Virginia. You can reach out to her office (for appointments etc.) via phone at (434) 924-2283.

Amanda L Willis is licensed to practice in Virginia (license number 0110009670) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1669247896.

Contact Information

	Amanda L Willis, PA
	1215 Lee St, Charlottesville, VA 22908-0816
	(434) 924-2283
	(434) 982-0019

Physician's Profile

Full Name	Amanda L Willis
Gender	Female
Speciality	Physician Assistant
Location	1215 Lee St, Charlottesville, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669247896
Provider Enumeration Date: 11/17/2023
Last Update Date: 12/09/2023

Medicare PECOS Information:

PECOS PAC ID: 6305297151
Enrollment ID: I20240105003455

Medical Identifiers

Medical identifiers for Amanda L Willis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669247896	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207LC0200X	Anesthesiology - Critical Care Medicine	0110009670 (Virginia)	Secondary
363A00000X	Physician Assistant	0110009670 (Virginia)	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. Amanda L 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
Amanda L Willis, PA Po Box 9007, Charlottesville, VA 22906-9007 Ph: () -	Amanda L Willis, PA 1215 Lee St, Charlottesville, VA 22908-0816 Ph: (434) 924-2283

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Amanda L Willis, PA - Medicare Physician Assistant in Charlottesville, VA