Dr. Daniel Nathan Willis

MD | Pediatric Hematology-Oncology | Male

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Complete Profile:

Dr. Daniel Nathan Willis basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Hematology-Oncology
Provider Name :	Dr. Daniel Nathan Willis
Credential :	MD
Gender :	Male

Business Address:

Dr. Daniel Nathan Willis address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	1 Childrens Pl, Div Ped Hematology & Onc Saint Louis, MO, 63110-1002 United States
Phone Number :	314-454-6018
Fax Number :	844-621-4392

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1669812053
NPI Entity Type :	Individual
First Enrolment Date :	28 Jun, 2013
Last Updated On :	15 Nov, 2021

Medicare Participation:

Dr. Daniel Nathan Willis participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	6002140803
Medicare Enrollment ID :	I20190627003317
Primary Specialty :	Pediatric Medicine
Medical School :	University Of Kansas School Of Med (kc/wich/sal)
Graduation Year :	2013
Accepts Medicare?	Yes. Dr. Daniel Nathan Willis accepts medicare insurance.

Group Practice Association:

Dr. Daniel Nathan Willis is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Daniel Nathan Willis is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Washington University	9830008770	2383	1 Childrens Pl Saint Louis, MO - 631101002	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Daniel Nathan Willis are as mentioned. Primary taxonomy code for Dr. Daniel Nathan Willis, MD is 2080P0207X (Pediatrics Pediatric Hematology-Oncology).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	2016012329	MO
2080P0207X	Pediatrics Pediatric Hematology-Oncology	Yes	2016012329	MO

Legacy Identifiers:

Other legacy medical identifiers of Dr. Daniel Nathan Willis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
200062110	MEDICAID	MO

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	1 Childrens Pl, Msc 8515-87-1200 Saint Louis, MO, 63110-1002 United States
Phone Number :	314-454-6018
Fax Number :	844-621-4392

Business Location:

Patients can refer following map for directions to Dr. Daniel Nathan Willis practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.