Dr Kyle Willson, DPM - Medicare Podiatrist in Vallejo, CA

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Dr Kyle Willson, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Vallejo, California. His current practice location is 975 Sereno Dr, Vallejo, California. You can reach out to his office (for appointments etc.) via phone at (707) 651-1000.

Dr Kyle Willson is licensed to practice in California (license number EL6700) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1467868885.

Contact Information

Dr Kyle Willson, DPM
975 Sereno Dr,
Vallejo, CA 94589-2441
(707) 651-1000
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Kyle Willson
GenderMale
SpecialityPodiatrist - Foot & Ankle Surgery
Location975 Sereno Dr, Vallejo, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1467868885
  • Provider Enumeration Date: 07/07/2014
  • Last Update Date: 12/17/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2668745365
  • Enrollment ID: I20170831000862

Medical Identifiers

Medical identifiers for Dr Kyle Willson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467868885NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0103XPodiatrist - Foot & Ankle Surgery EL6700 (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. Dr Kyle Willson allows following entities to bill medicare on his behalf.
Provider NamePermanente Medical Group Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710
Provider NameSutter Bay Medical Foundation
Provider TypePart B Supplier - Ambulatory Surgical Center
Provider IdentifiersNPI Number: 1982845186
PECOS PAC ID: 4284538778
Enrollment ID: O20090501000247
Provider NameSutter Bay Medical Foundation
Provider TypePart B Supplier - Ambulatory Surgical Center
Provider IdentifiersNPI Number: 1104067115
PECOS PAC ID: 4284538778
Enrollment ID: O20090501000456

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. Dr Kyle Willson 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
Dr Kyle Willson, DPM
136 Breakwater Way,
Vacaville, CA 95688-0106

Ph: (707) 685-4686		Dr Kyle Willson, DPM
975 Sereno Dr,
Vallejo, CA 94589-2441

Ph: (707) 651-1000

Reviews and Comments


Podiatrist in Vallejo, CA

Napa Solano Foot And Ankle
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Ronald Delosreyes Paterno, DPM
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Dr. Monica Jung,
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Ninveh Omlin, D.P.M.
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Phone: 707-651-5033    Fax: 707-651-3685
Lance Vanwoy, DPM
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Practice Location: 975 Sereno Dr, Vallejo, CA 94589
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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.