| Jessica Lynn Willemse, NP-C | |
|
34845 Yucaipa Blvd, Yucaipa, CA 92399-4268 | |
| (909) 500-7971 | |
| Not Available |
| Full Name | Jessica Lynn Willemse |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 34845 Yucaipa Blvd, Yucaipa, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831594670 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95001558 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sac Health System | 4385533579 | 170 |
| Entity Name | Beaver Medical Group P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649503319 PECOS PAC ID: 0547164295 Enrollment ID: O20031124000449 |
| Entity Name | Healthcare Partners Affiliates Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659312593 PECOS PAC ID: 7315842002 Enrollment ID: O20031204001258 |
| Entity Name | Sac Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013935923 PECOS PAC ID: 4385533579 Enrollment ID: O20040315000608 |
| Entity Name | Pinnacle Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376876912 PECOS PAC ID: 4880667609 Enrollment ID: O20040818001020 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Lynn Willemse, NP-C Po Box 12209, San Bernardino, CA 92423-2209 Ph: (909) 335-4188 | Jessica Lynn Willemse, NP-C 34845 Yucaipa Blvd, Yucaipa, CA 92399-4268 Ph: (909) 500-7971 |
Mr. Sandy Ung, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11970 4th St, Yucaipa, CA 92399 Phone: 872-231-3162 Fax: 702-977-1496 | |
Suzanne Charlotte Moore, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 33758 Yucaipa Blvd, Yucaipa, CA 92399 Phone: 909-795-9747 | |
Mrs. Grace Enu Clerk, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 35237 Yucaipa Blvd, Yucaipa, CA 92399 Phone: 909-790-6200 Fax: 909-790-6220 | |
Mi La Kim, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 33758 Yucaipa Blvd, Yucaipa, CA 92399 Phone: 909-795-9747 | |
Carrie D Parrish, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 33758 Yucaipa Blvd, Yucaipa, CA 92399 Phone: 909-795-9747 | |
Lisa Wong-soqui, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 33758 Yucaipa Blvd, Yucaipa, CA 92399 Phone: 909-795-9747 | |
Gilbert Agyemang-boakye, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11711 Sand Canyon Rd, Yucaipa, CA 92399 Phone: 909-389-3272 |