Katheryn Elizabeth Willey, MS RD LD CDCES is a medicare enrolled "Dietitian, Registered" provider in West Middlesex, Pennsylvania. Her current practice location is
3974 Longview Rd, West Middlesex, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(724) 977-5527.
Katheryn Elizabeth Willey is licensed to practice in * (Not Available) (license number 86050109) 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 1669120267.
Healthcare Provider's Profile
| Full Name | Katheryn Elizabeth Willey |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 3974 Longview Rd, West Middlesex, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1669120267
- Provider Enumeration Date: 03/13/2022
- Last Update Date: 11/04/2022
Medicare PECOS Information:
- PECOS PAC ID: 1052707494
- Enrollment ID: I20220411002571
Medical Identifiers
Medical identifiers for Katheryn Elizabeth Willey such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1669120267 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 86050109 (* (Not Available)) | 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. Katheryn Elizabeth Willey allows following entities to bill medicare on her behalf.
| Provider Name | Diamond Nutrition Counseling, Inc. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1437794310
PECOS PAC ID: 0941637599
Enrollment ID: O20200221000095 |
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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. Katheryn Elizabeth Willey 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 |
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Katheryn Elizabeth Willey, MS RD LD CDCES
3974 Longview Rd,
West Middlesex, PA 16159-2912
Ph: (724) 977-5527 | Katheryn Elizabeth Willey, MS RD LD CDCES
3974 Longview Rd,
West Middlesex, PA 16159-2912
Ph: (724) 977-5527 |
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