Kathy A Willenborg, RN, PMHNP-BC - Medicare Nurse Practitioner in Anna, IL

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Kathy A Willenborg, RN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Anna, Illinois. Her current practice location is 1000 N Main St, Anna, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 202-6441.

Kathy A Willenborg is licensed to practice in Illinois (license number 209016361) 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 1760770085.

Contact Information

Kathy A Willenborg, RN, PMHNP-BC
1000 N Main St,
Anna, IL 62906-1652
(618) 202-6441
Not Available

Map and Direction




Provider's Profile

Full NameKathy A Willenborg
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location1000 N Main St, Anna, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1760770085
  • Provider Enumeration Date: 07/20/2011
  • Last Update Date: 10/01/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5991160491
  • Enrollment ID: I20230507000089

Medical Identifiers

Medical identifiers for Kathy A Willenborg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760770085NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 209016361 (Illinois)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. Kathy A Willenborg allows following entities to bill medicare on her behalf.
Entity NameBootheel Counseling Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386789139
PECOS PAC ID: 5496725145
Enrollment ID: O20040802000153
Entity NameCape Girardeau Behavioral Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700485281
PECOS PAC ID: 8022423649
Enrollment ID: O20210507002378

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. Kathy A Willenborg 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 AddressPractice Location Address
Kathy A Willenborg, RN, PMHNP-BC
1000 N Main St,
Anna, IL 62906-1652

Ph: (618) 202-6441		Kathy A Willenborg, RN, PMHNP-BC
1000 N Main St,
Anna, IL 62906-1652

Ph: (618) 202-6441

Reviews and Comments


Nurse Practitioner Nurses in Anna, IL

Ms. Heather Dawn Davis, APRN,FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1000 N Main St, Anna, IL 62906
Phone: 618-833-5161    Fax: 618-833-9034
Keith Samuel Bass, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 513 N Main St, Anna, IL 62906
Phone: 618-833-4471    
Jessica Elizabeth Wills, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 513 N Main St, Anna, IL 62906
Phone: 618-833-4471    Fax: 618-833-6267
Ms. Erica Vining, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 513 N Main St, Anna, IL 62906
Phone: 618-833-4471    Fax: 618-833-6267
Jill Bethany Wilson, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 517 N Main St, Anna, IL 62906
Phone: 618-833-4511    
Adam Brock Goforth,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 513 N Main St, Anna, IL 62906
Phone: 618-833-4471    
Rebecca L Pind, APN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 517 N Main St, Anna, IL 62906
Phone: 618-833-2295    Fax: 618-833-9058

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.