Tanya Renee Willis, in Apple Valley, CA - Medicare Registered Nurse

Tanya Renee Willis, is a medicare enrolled "Registered Nurse - General Practice" in Apple Valley, California. Her current practice location is 19166 La Quinta Pl, Apple Valley, California. You can reach out to her office (for appointments etc.) via phone at (760) 887-0477.

Tanya Renee Willis is licensed to practice in California (license number 802219) 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 1891345070.

Contact Information

	Tanya Renee Willis,
	19166 La Quinta Pl, Apple Valley, CA 92308-2700
	(760) 887-0477
	Not Available

Map and Direction

Provider's Profile

Full Name	Tanya Renee Willis
Gender	Female
Speciality	Registered Nurse - General Practice
Location	19166 La Quinta Pl, Apple Valley, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891345070
Provider Enumeration Date: 09/19/2019
Last Update Date: 06/27/2025

Medicare PECOS Information:

PECOS PAC ID: 2062935299
Enrollment ID: I20250328001619

Medical Identifiers

Medical identifiers for Tanya Renee Willis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891345070	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WG0000X	Registered Nurse - General Practice	802219 (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. Tanya Renee Willis allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

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. Tanya Renee 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
Tanya Renee Willis, 19166 La Quinta Pl, Apple Valley, CA 92308-2700 Ph: (760) 887-0477	Tanya Renee Willis, 19166 La Quinta Pl, Apple Valley, CA 92308-2700 Ph: (760) 887-0477

Reviews and Comments

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Ms. Terri Jackson, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 10813 Tumbleweed Rd, Apple Valley, CA 92308 Phone: 213-842-5811
Mrs. Jennifer Reed, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 20248 Gala Rd, Apple Valley, CA 92308 Phone: 760-995-0832
Ms. Beverly Starner Bledsoe, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 10758 Navajo Rd, Apple Valley, CA 92308 Phone: 760-247-4307
Carmen Borrero Edgmon, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 17800 Us Highway 18, Apple Valley, CA 92307 Phone: 760-946-8200 Fax: 760-946-8208

Tanya Renee Willis, - Medicare Registered Nurse in Apple Valley, CA