Dr Michael Willis, DPM - Medicare Podiatrist in Kingsport, TN

Dr Michael Willis, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Kingsport, Tennessee. He graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice East Tennessee Podiatry Associates Pllc and his current practice location is 1 Sheridan Sq Ste 102, Kingsport, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 722-5200.

Dr Michael Willis is licensed to practice in Tennessee (license number DPMOOOOOOO883) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1780032706.

Contact Information

Dr Michael Willis, DPM
1 Sheridan Sq Ste 102,
Kingsport, TN 37660-7398
(423) 722-5200
Not Available



Healthcare Provider's Profile

Full NameDr Michael Willis
GenderMale
SpecialityPodiatry
Experience9 Years
Location1 Sheridan Sq Ste 102, Kingsport, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Michael Willis graduated from medical school in 2015
  NPI Data:
  • NPI Number: 1780032706
  • Provider Enumeration Date: 05/31/2016
  • Last Update Date: 06/22/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2466883384
  • Enrollment ID: I20210813000241

Medical Identifiers

Medical identifiers for Dr Michael Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780032706NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0103XPodiatrist - Foot & Ankle Surgery DPMOOOOOOO883 (Tennessee)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
East Tennessee Podiatry Associates Pllc55971695992

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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 Michael Willis allows following entities to bill medicare on his behalf.
Provider NameEast Tennessee Podiatry Associates Pllc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1669054318
PECOS PAC ID: 5597169599
Enrollment ID: O20210813000179

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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 Michael 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 Michael Willis, DPM
1 Sheridan Sq Ste 102,
Kingsport, TN 37660-7398

Ph: (423) 722-5200
Dr Michael Willis, DPM
1 Sheridan Sq Ste 102,
Kingsport, TN 37660-7398

Ph: (423) 722-5200

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Podiatrist in Kingsport, TN

Paul Benjamin Schodowski, D.P.M.
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 2004 American Way, Suite 115, Kingsport, TN 37660
Phone: 423-246-8840    Fax: 423-246-8559
Benjamin Potter, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 430 W Ravine Rd, Kingsport, TN 37660
Phone: 423-245-3161    
Ann Wolford, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 1 Sheridan Sq Ste 102, Kingsport, TN 37660
Phone: 423-722-5200    
Dr. Joe Howard Owens, D.P.M.
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 2012 Brookside Dr, Suite 9, Kingsport, TN 37660
Phone: 423-392-6430    Fax: 423-392-6432
Dr. Mark C Baxter, D.P.M.
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 421 W Stone Dr, Suite 6, Kingsport, TN 37660
Phone: 423-245-4100    Fax: 423-245-0463
Frontier Foot & Ankle Specialists
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 1 Sheridan Sq Ste 102, Kingsport, TN 37660
Phone: 423-722-5200    
Chad Lawrence, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 105 W Stone Dr Ste 4b, Kingsport, TN 37660
Phone: 423-578-1560    

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