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

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 Name	Dr Kyle Willson
Gender	Male
Speciality	Podiatrist - Foot & Ankle Surgery
Location	975 Sereno Dr, Vallejo, California
Accepts Medicare Assignments	Medicare 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.

Identifier	Type	State	Issuer
1467868885	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213ES0103X	Podiatrist - 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 Name	Sutter Bay Medical Foundation
Provider Type	Part B Supplier - Ambulatory Surgical Center
Provider Identifiers	NPI Number: 1982845186 PECOS PAC ID: 4284538778 Enrollment ID: O20090501000247

Provider Name	Sutter Bay Medical Foundation
Provider Type	Part B Supplier - Ambulatory Surgical Center
Provider Identifiers	NPI 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 Address	Practice 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 Podiatrist Medicare: Medicare Enrolled Practice Location: 1460 N Camino Alto, Suite 101, Vallejo, CA 94589 Phone: 707-644-4049 Fax: 707-644-4687
Ronald Delosreyes Paterno, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000
Dr. Monica Jung, Podiatrist Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000
Stephen Haynam, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-3338
Ninveh Omlin, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-5033 Fax: 707-651-3685
Lance Vanwoy, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000
Nicholas Gan Tan, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 909-633-2881

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