Ms Katherine Marie Willis, PA-C - Medicare Physician Assistant in Baker City, OR

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Ms Katherine Marie Willis, PA-C is a medicare enrolled "Physician Assistant" in Baker City, Oregon. She graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Icco Llc, Bend Memorial Clinic Pc and her current practice location is 3325 Pocahontas Rd, Baker City, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 524-8000.

Ms Katherine Marie Willis is licensed to practice in Oregon (license number PA169484) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1326441353.

Contact Information

Ms Katherine Marie Willis, PA-C
3325 Pocahontas Rd,
Baker City, OR 97814-1464
(541) 524-8000
(541) 524-7955

Map and Direction




Provider's Profile

Full NameMs Katherine Marie Willis
GenderFemale
SpecialityPhysician Assistant
Experience12 Years
Location3325 Pocahontas Rd, Baker City, Oregon
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Katherine Marie Willis graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1326441353
  • Provider Enumeration Date: 10/05/2014
  • Last Update Date: 03/23/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1759605959
  • Enrollment ID: I20150116001162

Medical Identifiers

Medical identifiers for Ms Katherine Marie Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326441353NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA169484 (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Charles Bend CampusBend, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Icco Llc1355406729133
Bend Memorial Clinic Pc7214936533225

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. Ms Katherine Marie Willis allows following entities to bill medicare on her behalf.
Entity NameGood Shepherd Health Care System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295789667
PECOS PAC ID: 9133033764
Enrollment ID: O20031118000046
Entity NameSt Charles Health System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982621447
PECOS PAC ID: 3870402852
Enrollment ID: O20040112000045
Entity NameBend Memorial Clinic PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699827477
PECOS PAC ID: 7214936533
Enrollment ID: O20061215000022
Entity NameIcco LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407004757
PECOS PAC ID: 1355406729
Enrollment ID: O20090218000510

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. Ms Katherine Marie 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 AddressPractice Location Address
Ms Katherine Marie Willis, PA-C
3340 E Goldstone Dr,
Meridian, ID 83642-1026

Ph: (208) 302-9342		Ms Katherine Marie Willis, PA-C
3325 Pocahontas Rd,
Baker City, OR 97814-1464

Ph: (541) 524-8000

Reviews and Comments


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Mr. Monte W. Anderson, PA-C
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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.