Clyette Wilcher, NP is a medicare enrolled "Nurse Practitioner - Family" physician in Los Angeles, California. Her current practice location is
1300 North Vermont Hollywood, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at
(323) 522-6857.
Clyette Wilcher is licensed to practice in California (license number 95020525) 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 1043966658.
Physician's Profile
Full Name | Clyette Wilcher |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 1300 North Vermont Hollywood, Los Angeles, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1043966658
- Provider Enumeration Date: 02/23/2022
- Last Update Date: 08/08/2023
Medicare PECOS Information:
- PECOS PAC ID: 3971984352
- Enrollment ID: I20220715002179
Medical Identifiers
Medical identifiers for Clyette Wilcher such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043966658 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 682 (California) | Secondary |
363LF0000X | Nurse Practitioner - Family | 95020525 (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. Clyette Wilcher allows following entities to bill medicare on her behalf.
Entity Name | Molina Healthcare Of California |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1194811760 PECOS PAC ID: 7517957608 Enrollment ID: O20061101000348 |
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Entity Name | Tarzana Treatment Centers Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1346842093 PECOS PAC ID: 5991897845 Enrollment ID: O20070822001488 |
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Entity Name | Community Care Mobile Doctors |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1750029690 PECOS PAC ID: 8325428857 Enrollment ID: O20220630001170 |
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Entity Name | Makini Clinic Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1386423176 PECOS PAC ID: 6507211083 Enrollment ID: O20240306004208 |
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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. Clyette Wilcher 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 |
Clyette Wilcher, NP 2010 W Avenue K Apt 211, Lancaster, CA 93536-5229 Ph: (661) 317-2047 | Clyette Wilcher, NP 1300 North Vermont Hollywood, Los Angeles, CA 90027-9002 Ph: (323) 522-6857 |
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