William S Willis (NPI# 1144216714, PAC ID# 8729122205) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1144216714 |
| PAC ID by PECOS | 8729122205 |
| Professional Enrollment ID | I20100222000585 |
| Full Name | William S Willis |
| Organization Legal Name | PENSACOLA PRIMARY CARE INC |
| Address |
4601 Spanish Trl Pensacola FL 32504-5039 |
| Phone Number | 8504329224 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6002718343 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100231 | WEST FLORIDA HOSPITAL |
| 100025 | SACRED HEART HOSPITAL |
| 100266 | GULF BREEZE HOSPITAL |
| 100093 | BAPTIST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4244 Avalon Blvd, Milton, FL 32583-2808 | 8504944600 | PENSACOLA PRIMARY CARE INC |
| 1190 E Nine Mile Rd, Pensacola, FL 32514-1651 | 8508574040 | PENSACOLA PRIMARY CARE INC |
| 4601 Spanish Trl, Pensacola, FL 32504-5039 | 8504329224 | PENSACOLA PRIMARY CARE INC |
| 6431 N W St, Pensacola, FL 32505-1719 | 8504743660 | PENSACOLA PRIMARY CARE INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | PENSACOLA PRIMARY CARE INC |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sean Ashley Tolbert | Nurse Practitioner | Pensacola Primary Care Inc | 2360 Us Hwy 29 S, Cantonment, FL 32533 |
| Tavaris R Brooks Sr. | Nurse Practitioner | Pensacola Primary Care Inc | 7458 Pine Forest Rd, Pensacola, FL 32526-8818 |
| Vicki L Hankins | Nurse Practitioner | Pensacola Primary Care Inc | 4262 Woodbine Rd, Pace, FL 32571-8703 |
| Bill T Bautsch Jr. | Internal Medicine | Pensacola Primary Care Inc | 4244 Avalon Blvd, Milton, FL 32583-2808 |
| Joe A Dunn Jr. | Family Medicine | Pensacola Primary Care Inc | 321 E Fairfield Dr, Pensacola, FL 32506-4990 |
| Christopher H Rush | Family Medicine | Pensacola Primary Care Inc | 6431 N W St, Pensacola, FL 32505-1719 |
| Benjamin L Konell | Family Medicine | Pensacola Primary Care Inc | 321 E Fairfield Dr, Pensacola, FL 32506-4990 |
| Rex D Delaune | Family Medicine | Pensacola Primary Care Inc | 6431 N W St, Pensacola, FL 32505-1719 |
| Edward Anthony Schuka | Family Medicine | Pensacola Primary Care Inc | 1190 E Nine Mile Rd, Pensacola, FL 32514-1651 |
| Lisa A Looper | Nurse Practitioner | Pensacola Primary Care Inc | 321 E Fairfield Dr, Pensacola, FL 32506-4990 |
| Street Address |
4601 SPANISH TRL |
| City | PENSACOLA |
| State | FL |
| Zip | 32504-5039 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cristina R Denapoles | Nurse Practitioner | Pensacola Primary Care Inc | 4601 Spanish Trl, Pensacola, FL 32504-5039 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marilyn E Ricketts | Certified Nurse Midwife | Sacred Heart Hospital of Pensacola | 5045 Carpenter Creek Dr, Pensacola, FL 32504-2521 |
| Victoria L Mccullers | Nurse Practitioner | Sacred Heart Hospital of Pensacola | 4501 N Davis Hwy, Suite A, Pensacola, FL 32504-2724 |
| Matilda Jansen | Nurse Practitioner | Sacred Heart Hospital of Pensacola | 4501 N Davis Hwy, Suite A, Pensacola, FL 32504-2724 |
| Richard J Amato | Physician Assistant | Sacred Heart Hospital of Pensacola | 4501 N Davis Hwy, Suite A, Pensacola, FL 32504-2724 |
| Wendy W Osban | Family Medicine | Sacred Heart Hospital of Pensacola | 4501 N Davis Hwy, Suite A, Pensacola, FL 32504-2724 |
| Caroline Quinn | Physician Assistant | Sacred Heart Hospital of Pensacola | 4501 N Davis Hwy, Suite A, Pensacola, FL 32504-2724 |
| Tobias J Moreland | Physician Assistant | Sacred Heart Hospital of Pensacola | 4501 N Davis Hwy, Suite A, Pensacola, FL 32504-2724 |
| Rick Brian Stevens | General Surgery | Sacred Heart Hospital of Pensacola | 4501 N Davis Hwy, Suite A, Pensacola, FL 32504-2724 |
| Jung Y Gorton | Internal Medicine | Sacred Heart Hospital of Pensacola | 4501 N Davis Hwy, Suite A, Pensacola, FL 32504-2724 |
| Caitlin R Geurin | Family Medicine | Sacred Heart Hospital of Pensacola | 4501 N Davis Hwy, Suite A, Pensacola, FL 32504-2724 |
| Find all physicians in zip 32504 | |||
| City | PENSACOLA |
| Zip Code | 32504 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PENSACOLA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on William 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.