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Dr. Jerrold C Willis
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NPI Number Detailed Information
Provider Information:
Name: | Dr. Jerrold C Willis |
Gender: | M |
Provider License Number If Given: | 36057038 |
NPI Information:
NPI: | 1467407072 |
Entity Type (Individual or Organization): |
1-ind |
Enumeration Date: | 5/23/2006 |
Last Update Date: | 3/15/2021 |
Reputation Report: |
Provider Business Mailing Address:
Address: | PO BOX 2153 DEPT 20002 Birmingham, AL 35287 |
Phone Number: | 8774650012 |
Fax Number: | 3034381351 |
Provider Business Practice Location Address:
Address: | 1 GOOD SAMARITAN WAY RADIOLOGY DEPT Mount Vernon, IL 62864 |
Phone Number: | 6182424600 |
Fax Number: |
Provider Taxonomy:
Primary: | 2085R0202X |
Secondary (if any): | |
State: | IL |
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About Dr. Jerrold C Willis
Dr. Jerrold C Willis (DR. JERROLD C WILLIS ) is A Radiology Physician in Mount Vernon, IL.
The NPI Number for Dr. Jerrold C Willis is 1467407072.
The current location address for Dr. Jerrold C Willis is 1 GOOD SAMARITAN WAY RADIOLOGY DEPT Mount Vernon, IL 62864 and the contact number is 8774650012 and fax number is 3034381351.
The mailing address for Dr. Jerrold C Willis is PO BOX 2153 DEPT 20002 Birmingham, AL 35287- 6182424600 (mailing address contact number - 8774650012).
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Provider Business Location on Map
FAQs:
What is the NPI Number for Dr. Jerrold C Willis ?
Answer: The NPI Number for Dr. Jerrold C Willis is 1467407072
Where is Dr. Jerrold C Willis located?
Answer: Dr. Jerrold C Willis is located at 1 GOOD SAMARITAN WAY RADIOLOGY DEPT Mount Vernon, IL 62864.
What is the specialty for Dr. Jerrold C Willis ?
Answer: The Specialty of Dr. Jerrold C Willis is A Radiology Physician.
Are there any online reviews for Dr. Jerrold C Willis ?
Answer: Yes! Check It Now.
Are there any other health care providers in Mount Vernon, IL?
Answer: Yes, there are given below...
Medicare Physician & Other Practitioners
Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Dr. Jerrold C Willis
Medicare Part D Prescribers
Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.
Provider Specialty Type | Diagnostic Radiology |
Source of Provider Specialty | |
Number of Medicare Part D Claims, Including Refills | 23 |
Number of Standardized 30-Day Fills | 43 |
Aggregate Cost Paid for All Claims | 391.39 |
Number of Day's Supply for All Claims | 954 |
Number of Medicare Beneficiaries | |
Number of Claims, Including Refills, for Beneficiaries Age 65+ | 23 |
Including Refills, for Beneficiaries Age 65+ | 43 |
Beneficiaries Age 65+ | 391.39 |
Number of Day's Supply for All Claims for Beneficaries Age 65+ | 954 |
Number of Medicare Beneficiaries Age 65+ | |
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst | |
Total Claims of Brand-Name Drugs | 0 |
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst | |
Total Claims of Generic Drugs, Including Refills | 23 |
Aggregate Cost Paid for Generic Drugs | 391.39 |
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst | |
Total Claims of Other Drugs, Including Refills | 0 |
Aggregate Cost Paid for Other Drugs | 0 |
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst | * |
Number of Claims for Beneficiaries Covered by MAPD Plans | |
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans | |
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst | # |
Number of Claims for Beneficiaries Covered by Standalone PDP Plans | |
Aggregate Cost Paid for Claims Filled by | |
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst | |
Number of Claims for Beneficiaries Covered by Low-Income Subsidy | 11 |
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy | 97.22 |
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst | |
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy | 12 |
by Low-Income Subsidy | 294.17 |
Total Claims of Opioid Drugs, Including | |
Aggregate Cost Paid for Opioid Drugs | |
Opioid Claims | |
Opioid_Tot_Clms divided by the Tot_Clms | |
Total Claims of Long-Acting Opioid Drugs | |
Aggregate Cost Paid for Long-Acting Opioid | |
Number of Day's Supply of All Long-Acting | |
Long-Acting Opioid Claims | |
Opioid_LA_Tot_Clms divided by the | |
Total Claims of Antibiotic Drugs, Including | |
Aggregate Cost Paid for Antibiotic Drugs | |
Antibiotic Claims | |
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst | |
Including Refills, for Beneficiaries Age 65+ | 0 |
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ | 0 |
Reason for Suppression of Antpsyct_GE65_Tot_Benes | |
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims | |
Average Age of Beneficiaries | 72.857142857 |
Number of Beneficiaries Age Less Than 65 | |
Number of Beneficiaries Age 65 to 74 | |
Number of Beneficiaries Age 75 to 84 | |
Number of Female Beneficiaries | |
Number of Male Beneficiaries | |
Number of Non-Hispanic White | |
Number of Black or African American | |
Number of Asian Pacific Islander | |
Number of Hispanic Beneficiaries | |
Number of American Indian/Alaskan NativeBeneficiaries | |
Number of Beneficiaries with Race Not | |
Only Entitlement | |
Average Hierarchical Condition Category | 3.8686733123 |
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