Scott Robert Willis
SOUTHEASTERN EMERGENCY PHYSICIANS LLC


Address: 900 Hospital Dr, Madisonville, KY 42431-1644
Phone: 2708255100

Scott Robert Willis (NPI# 1679523997, PAC ID# 7618953555) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1679523997
PAC ID by PECOS 7618953555
Professional Enrollment ID I20171025001714
Full Name Scott Robert Willis
Organization Legal Name SOUTHEASTERN EMERGENCY PHYSICIANS LLC
Address 900 Hospital Dr
Madisonville
KY 42431-1644
Phone Number 2708255100
Gender M
Credential MD
Graduation Year 1999
Primary Specialty EMERGENCY MEDICINE
Group Practice PAC ID 2466364997
Number of Group Practice Members 226
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
180025 FLAGET MEMORIAL HOSPITAL

Other Locations

Address Phone Organization
900 Hospital Dr, Madisonville, KY 42431-1644 2708255100 SOUTHEASTERN EMERGENCY PHYSICIANS LLC

Organization Information

Organization Legal Name SOUTHEASTERN EMERGENCY PHYSICIANS LLC
Physicians 252

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Mary E Harkleroad Family Medicine Southeastern Emergency Physicians LLC 1 Trillium Way, Corbin, KY 40701-8420
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William J Mcintyre Emergency Medicine Southeastern Emergency Physicians LLC 55 Foundation Dr, Flemingsburg, KY 41041-9815
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Shirley K Catron Family Medicine Southeastern Emergency Physicians LLC 723 Old Burkesville Rd, Albany, KY 42602-1654
James L Fritzsche Emergency Medicine Southeastern Emergency Physicians LLC 9352 Park W Blvd, Knoxville, TN 37923-4325

Office Location

Street Address 900 HOSPITAL DR
City MADISONVILLE
State KY
Zip 42431-1644

Physicians in the same location

Name Specialty Organization Address
William W Sherman Certified Registered Nurse Anesthetist (crna) One Anesthesia Pllc 900 Hospital Dr, Madisonville, KY 42431-1644
Christopher L Hellman Jr. Anesthesiology One Anesthesia Pllc 900 Hospital Dr, Madisonville, KY 42431-1644
James C Yelton Orthopedic Surgery Baptist Health Medical Group Inc 900 Hospital Dr, Madisonville, KY 42431-1644
David B Olalekan Internal Medicine Southeastern Physician Services PC 900 Hospital Dr, Madisonville, KY 42431-1644
Ashleigh Laffoon Nurse Practitioner Baptist Health Medical Group Inc 900 Hospital Dr, Madisonville, KY 42431-1644
Dean A Rose Emergency Medicine Southeastern Emergency Physicians LLC 900 Hospital Dr, Madisonville, KY 42431-1644
Devalkumar Jitendrabhai Rajyaguru Hematology/oncology Baptist Health Medical Group Inc 900 Hospital Dr, Madisonville, KY 42431-1644
Chelsea Stevens Rojas Certified Registered Nurse Anesthetist (crna) One Anesthesia Pllc 900 Hospital Dr, Madisonville, KY 42431-1644
Andrew L Lockhart Certified Registered Nurse Anesthetist (crna) One Anesthesia Pllc 900 Hospital Dr, Madisonville, KY 42431-1644
Ronald Reagan Gilley Ii Psychiatry Baptist Health Medical Group Inc 900 Hospital Dr, Madisonville, KY 42431-1644
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Physicians in the same zip code

Name Specialty Organization Address
Sherra Lynn Morgan Nurse Practitioner Fast Pace Kentucky Pllc 919 N Main St, Madisonville, KY 42431-1261
Courtney Nicole Keller Nurse Practitioner Fast Pace Kentucky Pllc 919 N Main St, Madisonville, KY 42431-1261
Traci Brady Nurse Practitioner Fast Pace Kentucky Pllc 919 N Main St, Madisonville, KY 42431-1261
Lydia Eads Nurse Practitioner Fast Pace Kentucky Pllc 919 N Main St, Madisonville, KY 42431-1261
Charles Ray Melton Nurse Practitioner Fast Pace Kentucky Pllc 919 N Main St, Madisonville, KY 42431-1261
Tanya Jarman Nurse Practitioner Fast Pace Kentucky Pllc 919 N Main St, Madisonville, KY 42431-1261
John W Sublett Nurse Practitioner Brock Medical, LLC 1350 N Main St, Madisonville, KY 42431-1282
Ashley Dossett Nurse Practitioner Brock Medical, LLC 1350 N Main St, Madisonville, KY 42431-1282
Anna M D'amico Urology 127 E N St B, Madisonville, KY 42431-1628
James Carpenter Dodds Orthopedic Surgery Baptist Health Medical Group Inc 900 Hospital Dr, Madisonville, KY 42431-1644
Find all physicians in zip 42431

Competitor

Search similar physicians

City MADISONVILLE
Zip Code 42431
Specialty EMERGENCY MEDICINE
City + Specialty MADISONVILLE + EMERGENCY MEDICINE

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Dataset Information

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.

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