Elizabeth Adrienne Willis, RN, MS, PMHNP-BC in Cloverdale, CA

Elizabeth Adrienne Willis, RN, MS, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Cloverdale, California. Her current practice location is 6 Tarman Dr, Cloverdale, California. You can reach out to her office (for appointments etc.) via phone at (707) 894-4229.

Elizabeth Adrienne Willis is licensed to practice in California (license number 95017303) 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 1104536549.

Contact Information

	Elizabeth Adrienne Willis, RN, MS, PMHNP-BC
	6 Tarman Dr, Cloverdale, CA 95425-3932
	(707) 894-4229
	Not Available

Map and Direction

Provider's Profile

Full Name	Elizabeth Adrienne Willis
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	6 Tarman Dr, Cloverdale, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104536549
Provider Enumeration Date: 11/28/2022
Last Update Date: 11/28/2022

Medicare PECOS Information:

PECOS PAC ID: 8022483643
Enrollment ID: I20230413001732

Medical Identifiers

Medical identifiers for Elizabeth Adrienne Willis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104536549	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WE0003X	Registered Nurse - Emergency	793320 (California)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95017303 (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. Elizabeth Adrienne Willis allows following entities to bill medicare on her behalf.

Entity Name	Alliance Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750399796 PECOS PAC ID: 3779471446 Enrollment ID: O20130128000264

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. Elizabeth Adrienne Willis 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
Elizabeth Adrienne Willis, RN, MS, PMHNP-BC Po Box 253, Sebastopol, CA 95473-0253 Ph: (707) 921-9393	Elizabeth Adrienne Willis, RN, MS, PMHNP-BC 6 Tarman Dr, Cloverdale, CA 95425-3932 Ph: (707) 894-4229

Reviews and Comments

Nurse Practitioner Nurses in Cloverdale, CA

Ms. Marya E Grosse, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6 Tarman Dr, Cloverdale, CA 95425 Phone: 707-894-4229 Fax: 707-894-2954
Cheyenne Michelle Matyac, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6 Tarman Dr, Cloverdale, CA 95425 Phone: 707-894-4229
Cheri Lynn Heffel, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 240 N Cloverdale Blvd, Copper Towers Family Medical Center, Cloverdale, CA 95425 Phone: 707-894-4229 Fax: 707-894-1063
Mahreen Jaffri, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6 Tarman Dr, Cloverdale, CA 95425 Phone: 716-507-6893
Emilee Person, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6 Tarman Dr, Cloverdale, CA 95425 Phone: 707-894-4229
Elizabeth Pile, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6 Tarman Dr, Cloverdale, CA 95425 Phone: 707-894-4229 Fax: 707-894-2954
Nathalie Pena, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6 Tarman Dr, Cloverdale, CA 95425 Phone: 707-894-4229

Elizabeth Adrienne Willis, RN, MS, PMHNP-BC - Medicare Nurse Practitioner in Cloverdale, CA