Dr Donald Clinton Willis, MD - Medicare Obstetrics & Gynecology in Johnson City, TN

Dr Donald Clinton Willis, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Johnson City, Tennessee. His current practice location is 325 N State Of Franklin Rd Fl 1, Johnson City, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 439-7272.

Dr Donald Clinton Willis is licensed to practice in Florida (license number ME30920) 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 1902870611.

Contact Information

Dr Donald Clinton Willis, MD
325 N State Of Franklin Rd Fl 1,
Johnson City, TN 37604
(423) 439-7272
(423) 439-7235



Physician's Profile

Full NameDr Donald Clinton Willis
GenderMale
SpecialityObstetrics & Gynecology
Location325 N State Of Franklin Rd Fl 1, Johnson City, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1902870611
  • Provider Enumeration Date: 02/17/2006
  • Last Update Date: 09/05/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9133243066
  • Enrollment ID: I20180803001110

Medical Identifiers

Medical identifiers for Dr Donald Clinton Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902870611NPI-NPPES
039811000MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207VM0101XObstetrics & Gynecology - Maternal & Fetal Medicine MD57056 (Tennessee)Secondary
207V00000XObstetrics & Gynecology ME30920 (Florida)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 Donald Clinton Willis allows following entities to bill medicare on his behalf.
Entity NameMedical Education Assistance Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235180480
PECOS PAC ID: 3870491269
Enrollment ID: O20040206000795

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Entity NameUt Regional One Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093130585
PECOS PAC ID: 5698993418
Enrollment ID: O20140820000662

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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 Donald Clinton 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 AddressPractice Location Address
Dr Donald Clinton Willis, MD
Po Box 699,
Mountain Home, TN 37684-0699

Ph: (423) 439-7272
Dr Donald Clinton Willis, MD
325 N State Of Franklin Rd Fl 1,
Johnson City, TN 37604

Ph: (423) 439-7272

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› Verified 7 days ago


Obstetrics & Gynecology Doctors in Johnson City, TN

Lauryn Camille Gabby, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 2335 Knob Creek Rd Ste 100, Johnson City, TN 37604
Phone: 423-430-9942    
Martin E. Olsen, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 325 N State Of Franklin Rd Fl 1, Johnson City, TN 37604
Phone: 423-439-7272    Fax: 423-439-7235
Dr. Molly Talcott Heinzen Oxford, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 325 N State Of Franklin Rd Fl 1, Johnson City, TN 37604
Phone: 423-439-7272    Fax: 423-439-7235
Brian H Dunkelberger, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 301 Med Tech Pkwy, Ste. 200, Johnson City, TN 37604
Phone: 423-794-1300    Fax: 423-794-1820
Marcia M Sentell, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 301 Med Tech Pkwy, Ste 200, Johnson City, TN 37604
Phone: 423-794-1300    Fax: 423-794-1820
Dr. Blake T Rozycki, DO
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 301 Med Tech Pkwy Ste 200, Johnson City, TN 37604
Phone: 423-794-1300    Fax: 423-794-1820
Tara Vick, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 325 N State Of Franklin Rd Fl 1, Johnson City, TN 37604
Phone: 423-439-7272    

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