Dr Willow Banks, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Berkeley, California. Her current practice location is
2340 Ward St Ste 201, Berkeley, California. You can reach out to her office (for appointments etc.) via phone at
(510) 457-1755.
Dr Willow Banks is licensed to practice in California (license number PSY32315) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1043363732.
Healthcare Provider's Profile
Full Name | Dr Willow Banks |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 2340 Ward St Ste 201, Berkeley, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1043363732
- Provider Enumeration Date: 01/18/2007
- Last Update Date: 08/16/2021
Medicare PECOS Information:
- PECOS PAC ID: 7618322512
- Enrollment ID: I20231109002721
Medical Identifiers
Medical identifiers for Dr Willow Banks such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043363732 | NPI | - | NPPES |
11513 | Other | CA | MEDICAL BILLING NUMBER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
103TC0700X | Psychologist - Clinical | PSY32315 (California) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Willow Banks allows following entities to bill medicare on her behalf.
Entity Name | Gem Psychotherapy Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1902588601 PECOS PAC ID: 6800241704 Enrollment ID: O20231109002654 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Willow Banks is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Willow Banks, PSYD 2340 Ward St Ste 201, Berkeley, CA 94705-1147 Ph: (510) 457-1755 | Dr Willow Banks, PSYD 2340 Ward St Ste 201, Berkeley, CA 94705-1147 Ph: (510) 457-1755 |
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