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Provider Profile

Jack K. Willis, PA

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At a glance

About Jack Willis

Jack K. Willis, PA is a physician assistant based in Odessa, TX. Medicare claims data shows Jack provided 596 services to 365 patients. The services billed most often include injection, dexamethasone sodium phosphate, 1 mg, established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more, and detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza. The provider's National Provider Identifier (NPI) is 1063664183.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

School Other Graduated: 2008

Specialty

Credentials & Licensing

TX licenceAs reported to the NPI registry
No. PA05950As reported
NPINational Provider Identifier
1063664183Issued 2008

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What kind of doctor is Jack K. Willis?

Jack K. Willis is a physician assistant in Odessa, TX. That is the designation recorded for this NPI in the federal registry.

NPI registry

What is Jack K. Willis's address?

Jack K. Willis is listed at 4060 Medical Park Dr # A, Odessa, TX 79765. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Jack K. Willis?

The number on file is (432) 582-2882. Contact the office directly to confirm availability and scheduling.

NPI registry

What is the NPI for Jack K. Willis?

Jack K. Willis's National Provider Identifier is 1063664183. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Jack K. Willis train?

Jack K. Willis attended Other, graduating in 2008. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Jack K. Willis have?

Jack K. Willis has 18 years experience. Calculated from a graduation year of 2008, reported in the CMS National Downloadable File.

CMS public data

What procedures does Jack K. Willis perform?

According to Medicare billing data, Jack K. Willis performs imaging including x-ray of chest, 2 views; provides treatments such as injection of drug or substance under skin or into muscle, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.

Medicare claims

Is Jack K. Willis's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Jack K. Willis. If this is you, claiming it is free.

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