Mrs Haidy Denise Willis, PMHNP in Atascadero, CA

Mrs Haidy Denise Willis, PMHNP is a medicare enrolled "Registered Nurse - Psychiatric/mental Health, Adult" in Atascadero, California. Her current practice location is 10333 El Camino Real, Atascadero, California. You can reach out to her office (for appointments etc.) via phone at (805) 468-2000.

Mrs Haidy Denise Willis is licensed to practice in California (license number NP 22719) 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 1023395142.

Contact Information

	Mrs Haidy Denise Willis, PMHNP
	10333 El Camino Real, Atascadero, CA 93422-5808
	(805) 468-2000
	(805) 468-6011

Map and Direction

Provider's Profile

Full Name	Mrs Haidy Denise Willis
Gender	Female
Speciality	Registered Nurse - Psychiatric/mental Health, Adult
Location	10333 El Camino Real, Atascadero, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023395142
Provider Enumeration Date: 11/03/2011
Last Update Date: 07/10/2013

Medicare PECOS Information:

PECOS PAC ID: 0648580514
Enrollment ID: I20151104002228

Medical Identifiers

Medical identifiers for Mrs Haidy Denise Willis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023395142	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0809X	Registered Nurse - Psychiatric/mental Health, Adult	NP 22719 (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. Mrs Haidy Denise Willis allows following entities to bill medicare on her behalf.

Entity Name	Central Coast Behavioral Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699112698 PECOS PAC ID: 6204356660 Enrollment ID: O20250228000963

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. Mrs Haidy Denise 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
Mrs Haidy Denise Willis, PMHNP 1600 9th Street, Room 150, Fiscal Allocations And Estimates Unit, Sacramento, CA 95814-6414 Ph: (916) 651-9475	Mrs Haidy Denise Willis, PMHNP 10333 El Camino Real, Atascadero, CA 93422-5808 Ph: (805) 468-2000

Reviews and Comments

Registered Nurse Nurses in Atascadero, CA

Lisa Marie Cady, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4800 Del Rio Rd, Atascadero, CA 93422 Phone: 805-461-1764
Phillip Smith, N.P. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 10333 E Camino Real, Atascadero, CA 93422 Phone: 805-468-2000 Fax: 805-468-6011
Ms. Deborah Marian Wright, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 5725 Chauplin Ave, Atascadero, CA 93422 Phone: 805-466-5725 Fax: 805-617-3977
Kaitlin Reiss Anderson, DNP, CPNP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 7700 Morro Rd, Atascadero, CA 93422 Phone: 805-466-6622 Fax: 805-461-0361
Samuel Mungai, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 9055 Coromar Ct, Atascadero, CA 93422 Phone: 909-965-5270
Molly Florence Fowler, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 8674 Santa Rosa Rd, Atascadero, CA 93422 Phone: 805-610-7173

Mrs Haidy Denise Willis, PMHNP - Medicare Registered Nurse in Atascadero, CA