Samuel M Willis Jr, MD - Medicare Internal Medicine in Columbia, SC

Samuel M Willis Jr, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Columbia, South Carolina. His current practice location is 2739 Laurel St, 1-a, Columbia, South Carolina. You can reach out to his office (for appointments etc.) via phone at (803) 799-4800.

Samuel M Willis Jr is licensed to practice in South Carolina (license number 12083) 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 1770586588.

Contact Information

Samuel M Willis Jr, MD
2739 Laurel St, 1-a,
Columbia, SC 29204-2028
(803) 799-4800
(803) 256-0397



Physician's Profile

Full NameSamuel M Willis Jr
GenderMale
SpecialityInternal Medicine - Gastroenterology
Location2739 Laurel St, Columbia, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1770586588
  • Provider Enumeration Date: 05/24/2005
  • Last Update Date: 10/16/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 4385540822
  • Enrollment ID: I20100212000573

Medical Identifiers

Medical identifiers for Samuel M Willis Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770586588NPI-NPPES
120835MedicaidSC
P01077735OtherSCMEDICARE RAILROAD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology 12083 (South Carolina)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. Samuel M Willis Jr allows following entities to bill medicare on his behalf.
Entity NameColumbia Gastroenterology Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922080266
PECOS PAC ID: 9234035759
Enrollment ID: O20040526001352

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Entity NamePrisma Health Medical Group-midlands
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275988321
PECOS PAC ID: 5991099707
Enrollment ID: O20160802001226

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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. Samuel M Willis Jr 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
Samuel M Willis Jr, MD
Po Box 402145,
Atlanta, GA 30384-2145

Ph: (803) 296-3502
Samuel M Willis Jr, MD
2739 Laurel St, 1-a,
Columbia, SC 29204-2028

Ph: (803) 799-4800

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› Verified 4 days ago


Internal Medicine Doctors in Columbia, SC

William Cole Andrew, D.O.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 14 Richland Medical Park Dr Ste 320, Columbia, SC 29203
Phone: 803-434-8721    
Seetharamprasad Madala, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 1801 Sunset Dr, Columbia, SC 29203
Phone: 803-434-4153    Fax: 803-434-4160
Michael Martin,
Gastroenterology
Medicare: Medicare Enrolled
Practice Location: 2 Medical Park Rd, Columbia, SC 29203
Phone: 803-434-6956    
Dr. Terry A Grainger, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 8 Richland Medical Park Dr Ste 100, Columbia, SC 29203
Phone: 803-434-3800    Fax: 803-744-2759
Dr. Adelero Olayinka Adebajo, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 1520 Laurel St, Columbia, SC 29201
Phone: 803-799-8407    Fax: 803-252-9070
Jeff Z Brooker Jr., MD, RETIRED
Gastroenterology
Medicare: Medicare Enrolled
Practice Location: 1625 Bernardin Ave, Columbia, SC 29204
Phone: 803-251-8985    
Dr. Ronald L Collins, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 1711 Saint Julian Pl, Columbia, SC 29204
Phone: 803-779-0911    Fax: 803-256-2480

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