Austin Joe Willis, in Vallejo, CA - Medicare Physician Assistant

Austin Joe Willis, is a medicare enrolled "Physician Assistant" in Vallejo, California. His current practice location is 1310 Club Dr, Vallejo, California. You can reach out to his office (for appointments etc.) via phone at (707) 638-5809.

Austin Joe Willis is licensed to practice in * (Not Available) (license number ) 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 1023682986.

Contact Information

	Austin Joe Willis,
	1310 Club Dr, Vallejo, CA 94592-1187
	(707) 638-5809
	Not Available

Provider's Profile

Full Name	Austin Joe Willis
Gender	Male
Speciality	Physician Assistant
Location	1310 Club Dr, Vallejo, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023682986
Provider Enumeration Date: 05/16/2021
Last Update Date: 05/16/2021

Medicare PECOS Information:

PECOS PAC ID: 2769858059
Enrollment ID: I20221011001554

Medical Identifiers

Medical identifiers for Austin Joe Willis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023682986	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (Not Available))	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. Austin Joe 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
Austin Joe Willis, 3476 S Leland St, San Pedro, CA 90731-6126 Ph: (310) 922-4637	Austin Joe Willis, 1310 Club Dr, Vallejo, CA 94592-1187 Ph: (707) 638-5809

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Physician Assistant Nurses in Vallejo, CA

Ms. Virginia Jean Hens-piazza, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 243 Georgia Street, Suite B, Vallejo, CA 94590 Phone: 707-556-8100 Fax: 707-556-8107
Thao-vy Thi Tran, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1310 Club Dr, Vallejo, CA 94592 Phone: 707-638-5200
Christian Joseph Garia, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1310 Club Dr, Vallejo, CA 94592 Phone: 707-638-5809
Margaret Malig Nonato, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2290 Sacramento St, Vallejo, CA 94590 Phone: 707-643-5785 Fax: 707-643-8810
John Howard Alexander, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2290 Sacramento St, Vallejo, CA 94590 Phone: 707-643-5785 Fax: 707-643-8810
Mayanka Barath, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1310 Club Dr, Vallejo, CA 94592 Phone: 707-638-5809

Austin Joe Willis, - Medicare Physician Assistant in Vallejo, CA