WILLIE EARL SALLIS PA NPI 1689606709
Physician Assistant in Fort Rucker, AL

Individual Male Physician Assistant PECOS Enrolled

About WILLIE EARL SALLIS PA

Willie Sallis is a primary care provider established in Fort Rucker, Alabama and his medical specialization is Physician Assistant. The NPI number of Willie Sallis is 1689606709 and was assigned on July 2006. The practitioner's primary taxonomy code is 363A00000X. The provider is registered as an individual and his NPI record was last updated 11 years ago.

NPI
1689606709
Provider Name WILLIE EARL SALLIS PA
Provider Location Address301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC BLDING FORT RUCKER, AL 36362
Provider Mailing Address301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC BLDING FORT RUCKER, AL 36362
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Enumeration Date07-07-2006
Last Update Date08-08-2011

A primary care provider (PCP) like Willie Earl Sallis Pa sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc Willie Sallis is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices..

Willie Sallis is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.



Primary Taxonomy

Taxonomy Code363A00000X
ClassificationPhysician Assistant
TypePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy DescriptionA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Business Address

WILLIE EARL SALLIS PA
301 ANDREWS AVE
LYSTER ARMY HEALTH CLINIC BLDING
FORT RUCKER, AL
ZIP 36362
Phone: (334) 255-7349

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Mailing Address

WILLIE EARL SALLIS PA
301 ANDREWS AVE
LYSTER ARMY HEALTH CLINIC BLDING
FORT RUCKER, AL
ZIP 36362
Phone: (334) 255-7349


PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1689606709
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261691201270
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 6 + 9 + 1 + 2 + 0 + 1 + 2 + 7 + 0 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1689606709 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1407845589DR. CRAIG BRIAN COLLIER M.D.
Individual
Preventive Medicine (Aerospace Medicine)301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL 36362
(334) 255-7363
1467441600DR. RONDA FOWLER CARTER M.D.
Individual
Family Medicine301 ANDREWS AVE
FT. RUCKER, AL 36362
(334) 255-7387
1023099421MR. VIRGIL THOMAS SPEECE APA-C
Individual
Physician Assistant301 ANDREWS AVE
FT RUCKER, AL 36362
(334) 255-7387
1316929029DR. JAMES STUART MCGHEE M.D.
Individual
Preventive Medicine (Aerospace Medicine)301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC
FT RUCKER, AL 36362
(334) 255-7387
1275517344DR. JOSEPH FRANCIS MCKEON MD
Individual
Preventive Medicine (Aerospace Medicine)301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL 36362
(334) 255-7387
1558347401 KATHY OLBETER PA-C
Individual
Physician Assistant (Medical)301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC
FT. RUCKER, AL 36362
(334) 255-7387
1720058951DR. JUSTIN TREVOR WOODSON MD
Individual
Preventive Medicine (Aerospace Medicine)301 ANDREWS AVE
FORT RUCKER, AL 36362
(334) 255-7387
1467410209DR. JIMMY CHRISTOPHER MCNEAL O.D.
Individual
Optometrist301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC - EENT
FORT RUCKER, AL 36362
(334) 255-7185
1558396457DR. JOHN STEPHEN CROWLEY MD
Individual
Preventive Medicine (Aerospace Medicine)301 ANDREWS AVE
FORT RUCKER, AL 36362
(334) 255-7387
1942349527DR. DIANE MICHELLE ZIERHOFFER PHD
Individual
Psychologist (Counseling)301 ANDREWS AVE
FORT RUCKER, AL 36362
(334) 255-7387
1245420439 KATHLEEN LOUISE SOPP R.D.
Individual
Dietitian, Registered301 ANDREWS AVE
FORT RUCKER, AL 36362
(334) 255-7387
1386822096MRS. JOAN L FINDEISEN LPN
Individual
Licensed Practical Nurse301 ANDREWS AVE
FT RUCKER, AL 36362
(334) 255-7930
1821266610MS. TINA MARIE MAULDIN
Individual
Registered Nurse301 ANDREWS AVE
FORT RUCKER, AL 36362
(334) 255-7741
1407024243 PATRICIA A SMITH RN
Individual
Registered Nurse301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL 36362
(334) 255-7577
1285802017 CAROLYN PETERSON
Individual
Licensed Practical Nurse301 ANDREWS AVE
FT. RUCKER, AL 36362
(334) 255-7883
1467620294 CLIFTON O COX
Individual
Licensed Practical Nurse301 ANDREWS AVE
FT RUCKER, AL 36362
(334) 255-7883
1063680734 SHANICE COLEMAN MEDICAL ASSISTANT
Individual
Technician301 ANDREWS AVE
FT. RUCKER, AL 36362
(333) 255-7755
1386812014 MARY REYNOLDS
Individual
Licensed Practical Nurse301 ANDREWS AVE
FT. RUCKER, AL 36362
(334) 255-7566
1871765990 APRIL S. JONES NURSING ASSISTANT
Individual
Nurse's Aide301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC BUILDING
FORT RUCKER, AL 36362
(334) 255-7894
1023281755 VICTOR CLEMENTS
Individual
Nurse's Aide301 ANDREWS AVE LAHC
FORT RUCKER, AL 36362
(334) 255-7118

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Willie Earl Sallis Pa is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.