Gloria E Willoughby, NURSE PRACTITIONER in Shenandoah, TX

Gloria E Willoughby, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Shenandoah, Texas. Her current practice location is 150 Pine Forest Dr, Suite 110, Shenandoah, Texas. You can reach out to her office (for appointments etc.) via phone at (281) 709-2555.

Gloria E Willoughby is licensed to practice in Texas (license number 651038) 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 1831143627.

Contact Information

	Gloria E Willoughby, NURSE PRACTITIONER
	150 Pine Forest Dr, Suite 110, Shenandoah, TX 77384-5302
	(281) 709-2555
	(281) 440-9915

Map and Direction

Provider's Profile

Full Name	Gloria E Willoughby
Gender	Female
Speciality	Nurse Practitioner - Family
Location	150 Pine Forest Dr, Shenandoah, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831143627
Provider Enumeration Date: 05/19/2006
Last Update Date: 08/26/2016

Medicare PECOS Information:

PECOS PAC ID: 3375550593
Enrollment ID: I20060314000185

Medical Identifiers

Medical identifiers for Gloria E Willoughby such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831143627	NPI	-	NPPES
152611302	Medicaid	TX
187619502	Medicaid	TX
187619501	Medicaid	TX
152611301	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	651038 (Texas)	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. Gloria E Willoughby allows following entities to bill medicare on her behalf.

Entity Name	Calvary Medical Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265568042 PECOS PAC ID: 7719876218 Enrollment ID: O20040312000719

Entity Name	Geriatric & Palliative Care Associates, Pa.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770038549 PECOS PAC ID: 8628366135 Enrollment ID: O20161017002450

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. Gloria E Willoughby 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
Gloria E Willoughby, NURSE PRACTITIONER 150 Pine Forest Dr, Suite F, Shenandoah, TX 77384-5302 Ph: (281) 709-2555	Gloria E Willoughby, NURSE PRACTITIONER 150 Pine Forest Dr, Suite 110, Shenandoah, TX 77384-5302 Ph: (281) 709-2555

Reviews and Comments

Nurse Practitioner Nurses in Shenandoah, TX

Karen Lee Mackenney, RN, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 135 Vision Park Blvd, Shenandoah, TX 77384 Phone: 281-404-3000 Fax: 281-290-9824
Mrs. Ronia J Khouri, AGACNP-BC, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9250 Pinecroft Dr, Shenandoah, TX 77380 Phone: 713-897-2300
Mr. Peter Robert Schultz, MSN, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17189 Interstate 45 S Ste 675, Shenandoah, TX 77385 Phone: 936-270-3905 Fax: 936-271-1584
Miss Eliza Beth Codd, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 150 Pine Forest Dr Ste 703, Shenandoah, TX 77384 Phone: 281-939-5915 Fax: 281-982-1808
Summer Renee Shields, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9250 Pinecroft Dr # N2.101, Shenandoah, TX 77380 Phone: 713-897-5539 Fax: 713-897-2275
Maria Ivy Claborn, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 150 Pine Forest Dr Ste 101, Shenandoah, TX 77384 Phone: 832-610-2822
Lindsay Ann Ross, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 920 Medical Plaza Dr Ste 520, Shenandoah, TX 77380 Phone: 832-562-3974 Fax: 832-562-3974

Gloria E Willoughby, NURSE PRACTITIONER - Medicare Nurse Practitioner in Shenandoah, TX