Wayne S Willis (NPI# 1003880667, PAC ID# 2567458490) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
Nation Provider ID (NPI) | 1003880667 |
PAC ID by PECOS | 2567458490 |
Professional Enrollment ID | I20040424000006 |
Full Name | Wayne S Willis |
Organization Legal Name | WAYNE S WILLIS MD LLC |
Address |
5115 N Palafox St Pensacola FL 32505-2932 |
Phone Number | 8504389755 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE |
Graduation Year | 1973 |
Primary Specialty | FAMILY PRACTICE |
Group Practice PAC ID | 5496762098 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
100093 | BAPTIST HOSPITAL |
100025 | SACRED HEART HOSPITAL |
100266 | GULF BREEZE HOSPITAL |
100231 | WEST FLORIDA HOSPITAL |
Address | Phone | Organization |
---|---|---|
5115 N Palafox St, Pensacola, FL 32505-2932 | 8504389755 | WAYNE S WILLIS MD LLC |
Organization Legal Name | WAYNE S WILLIS MD LLC |
Physicians | 1 |
Street Address |
5115 N PALAFOX ST |
City | PENSACOLA |
State | FL |
Zip | 32505-2932 |
Name | Specialty | Organization | Address |
---|---|---|---|
Brittany Nolan Carothers | Physician Assistant | Quality Urgent Care and Wellness Pl | 5115 N Palafox St, Pensacola, FL 32505-2932 |
Courtney L Truax | Nurse Practitioner | Quality Urgent Care and Wellness Pl | 5115 N Palafox St, Pensacola, FL 32505-2932 |
Name | Specialty | Organization | Address |
---|---|---|---|
Scott Durrance | Nurse Practitioner | Florida Therapy Services Inc | 6425 Pensacola Blvd, Suite 1 3, Pensacola, FL 32505-1701 |
Sue C Singleton | Clinical Social Worker | Florida Therapy Services Inc | 6425 Pensacola Blvd, Suite 1 3, Pensacola, FL 32505-1701 |
Tamara R Knibbs | Clinical Social Worker | Florida Therapy Services Inc | 6425 Pensacola Blvd, Suite 1 3, Pensacola, FL 32505-1701 |
Kathleen R Vail | Clinical Social Worker | Florida Therapy Services Inc | 6425 Pensacola Blvd, Suite 1 3, Pensacola, FL 32505-1701 |
Steven L Clark | Family Medicine | Sacred Heart Medical Group Urgent Care | 6665 Pensacola Blvd, Pensacola, FL 32505-1705 |
Scott A Crawford | Physician Assistant | Sacred Heart Medical Group Urgent Care | 6665 Pensacola Blvd, Pensacola, FL 32505-1705 |
Bradley B Hawkins | Family Medicine | Sacred Heart Medical Group Urgent Care | 6665 Pensacola Blvd, Pensacola, FL 32505-1705 |
Eric Preston Waddington | Family Medicine | Sacred Heart Medical Group Urgent Care | 6665 Pensacola Blvd, Pensacola, FL 32505-1705 |
Lacy N Bruster | Nurse Practitioner | Sacred Heart Medical Group Urgent Care | 6665 Pensacola Blvd, Pensacola, FL 32505-1705 |
Jordan Kottler | Physician Assistant | Sacred Heart Medical Group Urgent Care | 6665 Pensacola Blvd, Pensacola, FL 32505-1705 |
Find all physicians in zip 32505 |
City | PENSACOLA |
Zip Code | 32505 |
Specialty | FAMILY PRACTICE |
City + Specialty | PENSACOLA + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Wayne S Willis.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.