Kylene Willsey, MD is a medicare enrolled "Pediatrics" physician in Dexter, Michigan. Her current practice location is
7444 Dexter Ann Arbor Rd Ste A, Dexter, Michigan. You can reach out to her office (for appointments etc.) via phone at
(734) 408-4182.
Kylene Willsey is licensed to practice in Michigan (license number 4301105815) 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 1336553239.
Physician's Profile
| Full Name | Kylene Willsey |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 7444 Dexter Ann Arbor Rd Ste A, Dexter, Michigan |
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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: 1336553239
- Provider Enumeration Date: 06/18/2014
- Last Update Date: 11/03/2025
Medicare PECOS Information:
- PECOS PAC ID: 4789990607
- Enrollment ID: I20231115002566
Medical Identifiers
Medical identifiers for Kylene Willsey such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1336553239 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208000000X | Pediatrics | 4301105815 (Michigan) | 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. Kylene Willsey allows following entities to bill medicare on her behalf.
| Entity Name | Dell Childrens Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326072943 PECOS PAC ID: 8224092978 Enrollment ID: O20041112001030 |
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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. Kylene Willsey 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 |
Kylene Willsey, MD 7444 Dexter Ann Arbor Rd Ste A, Dexter, MI 48130-1468 Ph: (734) 408-4182 | Kylene Willsey, MD 7444 Dexter Ann Arbor Rd Ste A, Dexter, MI 48130-1468 Ph: (734) 408-4182 |
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