Richard Jonathan Willes

M.D. | Pediatric Cardiology | Male

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Complete Profile:

Richard Jonathan Willes basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Cardiology
Provider Name :	Richard Jonathan Willes
Credential :	M.D.
Gender :	Male

Business Address:

Richard Jonathan Willes 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 :	3006 S Maryland Pkwy Ste 690 Las Vegas, NV, 89109-2297 United States
Phone Number :	702-990-4819
Fax Number :	702-260-1926

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 :	1821384264
NPI Entity Type :	Individual
First Enrolment Date :	23 Jun, 2011
Last Updated On :	21 Jul, 2022

Medicare Participation:

Richard Jonathan Willes participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	6305086570
Medicare Enrollment ID :	I20181025000238
Primary Specialty :	Cardiovascular Disease (cardiology)
Medical School :	Other
Graduation Year :	2011
Accepts Medicare?	Yes. Richard Jonathan Willes accepts medicare insurance.

Group Practice Association:

Richard Jonathan Willes 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 Richard Jonathan Willes 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
Mchs Hospitals Inc	5698071173	1003	1000 N Oak Ave Attn Mmc Medical Offices Marshfield, WI - 544495703 Ph: 7153875511	Yes
Mchs Hospitals Inc	5698071173	1003	2310 Craig Rd Eau Claire, WI - 547016128 Ph: 7158588100	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 Richard Jonathan Willes are as mentioned. Primary taxonomy code for Richard Jonathan Willes, M.D. is 2080P0202X (Pediatrics Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	62462	WI
2080P0202X	Pediatrics Pediatric Cardiology	Yes	17105	NV

Legacy Identifiers:

Other legacy medical identifiers of Richard Jonathan Willes such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
1821384264	MEDICAID	WI

Other Practice Locations:

Practice Address	City, State	Phone Number
9000 W WISCONSIN AVE, PEDIATRIC CARDIOLOGY MILWAUKEE, WI, 53226-4874 United States	MILWAUKEE, WI	414-266-6457

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 :	3006 S Maryland Pkwy, Ste 690 Las Vegas, NV, 89109-2297 United States
Phone Number :	702-990-4819
Fax Number :	702-260-1926

Business Location:

Patients can refer following map for directions to Richard Jonathan Willes practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.