Ms Katherine Robin Willems, FNP in Clearlake, CA

Ms Katherine Robin Willems, FNP is a medicare enrolled "Nurse Practitioner - Family" in Clearlake, California. Her current practice location is 15230 Lakeshore Dr, Clearlake, California. You can reach out to her office (for appointments etc.) via phone at (707) 995-4500.

Ms Katherine Robin Willems is licensed to practice in California (license number 404784-7693) 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 1134393069.

Contact Information

	Ms Katherine Robin Willems, FNP
	15230 Lakeshore Dr, Clearlake, CA 95422-8107
	(707) 995-4500
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Katherine Robin Willems
Gender	Female
Speciality	Nurse Practitioner - Family
Location	15230 Lakeshore Dr, Clearlake, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134393069
Provider Enumeration Date: 04/22/2008
Last Update Date: 03/04/2014

Medicare PECOS Information:

PECOS PAC ID: 4486895042
Enrollment ID: I20130724000106

Medical Identifiers

Medical identifiers for Ms Katherine Robin Willems such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134393069	NPI	-	NPPES
1134393069	Other	CA	NPI NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	404784-7693 (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. Ms Katherine Robin Willems allows following entities to bill medicare on her behalf.

Entity Name	Redwood Coast Medical Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962530725 PECOS PAC ID: 6901941905 Enrollment ID: O20100302000446

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 Robin Willems 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
Ms Katherine Robin Willems, FNP 15230 Lakeshore Dr, Clearlake, CA 95422-8107 Ph: (707) 995-4500	Ms Katherine Robin Willems, FNP 15230 Lakeshore Dr, Clearlake, CA 95422-8107 Ph: (707) 995-4500

Reviews and Comments

Nurse Practitioner Nurses in Clearlake, CA

Ms. Stephenie Hargrove, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15630 18th Ave, Clearlake, CA 95422 Phone: 707-994-6486
Martina Sara Cordova, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15630 18th Ave, Clearlake, CA 95422 Phone: 707-994-6486
Suzan Lewil, APRN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422 Phone: 707-995-4545
Ann C Larocca, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422 Phone: 707-995-4500
Ciaran George Carroll, FNP, MSN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422 Phone: 707-995-2400
Mr. Rommel B Gayagoy, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422 Phone: 707-995-4500

Ms Katherine Robin Willems, FNP - Medicare Nurse Practitioner in Clearlake, CA