Dalynne Willis, FNP is a medicare enrolled "Nurse Practitioner" physician in Roseville, California. She graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Sutter Valley Medical Foundation and her current practice location is
729 Sunrise Ave Ste 612, Roseville, California. You can reach out to her office (for appointments etc.) via phone at
(916) 666-2715.
Dalynne Willis is licensed to practice in California (license number 95010568) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1144784158.
Physician's Profile
Full Name | Dalynne Willis |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 6 Years |
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Location | 729 Sunrise Ave Ste 612, Roseville, California |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dalynne Willis graduated from medical school in 2018
NPI Data:
- NPI Number: 1144784158
- Provider Enumeration Date: 01/23/2019
- Last Update Date: 10/24/2022
Medicare PECOS Information:
- PECOS PAC ID: 0648519447
- Enrollment ID: I20190221002342
Medical Identifiers
Medical identifiers for Dalynne Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144784158 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 95010568 (California) | Secondary |
363L00000X | Nurse Practitioner | 95010568 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Sutter Valley Medical Foundation | 9830094515 | 1919 |
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. Dalynne Willis allows following entities to bill medicare on her behalf.
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
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Entity Name | Cep America - California |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520 |
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Entity Name | Cep America - California |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1548667843 PECOS PAC ID: 6103739131 Enrollment ID: O20040121000458 |
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Entity Name | Sutter Valley Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335 |
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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. Dalynne 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 |
Dalynne Willis, FNP 729 Sunrise Ave Ste 612, Roseville, CA 95661-4548 Ph: (916) 666-2715 | Dalynne Willis, FNP 729 Sunrise Ave Ste 612, Roseville, CA 95661-4548 Ph: (916) 666-2715 |
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