Ms Konneen Willis, PA - Medicare Physician Assistant in Bountiful, UT

Ms Konneen Willis, PA is a medicare enrolled "Physician Assistant - Medical" in Bountiful, Utah. She graduated from nursing school in 2004 and has 20 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Canyon Ridge Pain And Spine Pc and her current practice location is 1551 Renaissance Towne Dr, Ste 460, Bountiful, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 294-7246.

Ms Konneen Willis is licensed to practice in Utah (license number 107354-1206) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1861510240.

Contact Information

Ms Konneen Willis, PA
1551 Renaissance Towne Dr, Ste 460,
Bountiful, UT 84010-7667
(801) 294-7246
(801) 294-2560



Provider's Profile

Full NameMs Konneen Willis
GenderFemale
SpecialityPhysician Assistant
Experience20 Years
Location1551 Renaissance Towne Dr, Bountiful, Utah
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Konneen Willis graduated from nursing school in 2004
  NPI Data:
  • NPI Number: 1861510240
  • Provider Enumeration Date: 03/26/2007
  • Last Update Date: 02/25/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4587765813
  • Enrollment ID: I20070731000062

Medical Identifiers

Medical identifiers for Ms Konneen Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861510240NPI-NPPES
1861510240MedicaidUT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 107354-1206 (Utah)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Canyon Ridge Pain And Spine Pc88202620252

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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. Ms Konneen 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
Ms Konneen Willis, PA
1551 Renaissance Towne Dr, Ste 540,
Bountiful, UT 84010-7678

Ph: (801) 408-7660
Ms Konneen Willis, PA
1551 Renaissance Towne Dr, Ste 460,
Bountiful, UT 84010-7667

Ph: (801) 294-7246

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Physician Assistant Nurses in Bountiful, UT

David Elden Schow, P.A.-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 440 Medical Dr, Bountiful, UT 84010
Phone: 801-298-9100    Fax: 801-298-2238
Aubrey Westwood,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1057 S 1300 E, Bountiful, UT 84010
Phone: 801-888-0929    
Mr. Sean L. Webster Pa-c, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 557 W 2600 S, Bountiful, UT 84010
Phone: 801-298-9155    
David Buhler, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 380 N 200 W Ste 209, Bountiful, UT 84010
Phone: 801-298-1300    
David L Badham, PAC
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 557 W 2600 S, Bountiful, UT 84010
Phone: 801-296-5805    Fax: 801-298-9156
Melissa Yamashiro, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 620 Medical Dr, Suite 205, Bountiful, UT 84010
Phone: 801-298-0057    Fax: 801-298-9765
Edward Guy Hunter, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 380 N 200 W, Suite 209, Bountiful, UT 84010
Phone: 801-298-1300    Fax: 801-296-6199

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