Dr Randall J Willis, MD - Medicare Urology in Stillwater, OK

Dr Randall J Willis, MD is a medicare enrolled "Urology" physician in Stillwater, Oklahoma. His current practice location is 801 S Walnut St, Stillwater, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (405) 743-3760.

Dr Randall J Willis is licensed to practice in Oklahoma (license number 12754) 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 1902860356.

Contact Information

Dr Randall J Willis, MD
801 S Walnut St,
Stillwater, OK 74074-4226
(405) 743-3760
Not Available



Physician's Profile

Full NameDr Randall J Willis
GenderMale
SpecialityUrology
Location801 S Walnut St, Stillwater, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1902860356
  • Provider Enumeration Date: 04/13/2006
  • Last Update Date: 02/01/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 0648165431
  • Enrollment ID: I20100915000654

Medical Identifiers

Medical identifiers for Dr Randall J Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902860356NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 12754 (Oklahoma)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 Randall J Willis allows following entities to bill medicare on his behalf.
Entity NameStillwater Medical Center Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558377135
PECOS PAC ID: 2365353794
Enrollment ID: O20040525001304

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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 Randall J 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 Randall J Willis, MD
801 S Walnut St,
Stillwater, OK 74074-4226

Ph: (405) 743-3760
Dr Randall J Willis, MD
801 S Walnut St,
Stillwater, OK 74074-4226

Ph: (405) 743-3760

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Urology Doctors in Stillwater, OK

Robert William Lauvetz, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 816 S Pine St, Stillwater, OK 74074
Phone: 405-377-3858    Fax: 405-624-2771
Dr. Nathan Rademaker, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1201 S Adams St, Stillwater, OK 74074
Phone: 405-742-5300    

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