Collette Lee King, FNP in Agoura Hills, CA - Medicare Nurse Practitioner

Collette Lee King, FNP is a medicare enrolled "Nurse Practitioner - Family" in Agoura Hills, California. She graduated from nursing school in 1999 and has 25 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Providence Medical Institute and her current practice location is 29525 Canwood St, Suite 300, Agoura Hills, California. You can reach out to her office (for appointments etc.) via phone at (818) 706-2477.

Collette Lee King is licensed to practice in California (license number 10843) 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 1194857656.

Contact Information

	Collette Lee King, FNP
	29525 Canwood St, Suite 300, Agoura Hills, CA 91301-4233
	(818) 706-2477
	(818) 706-2368

Map and Direction

Provider's Profile

Full Name	Collette Lee King
Gender	Female
Speciality	Nurse Practitioner
Experience	25 Years
Location	29525 Canwood St, Agoura Hills, California
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:

Collette Lee King graduated from nursing school in 1999

NPI Data:

NPI Number: 1194857656
Provider Enumeration Date: 03/11/2007
Last Update Date: 06/01/2021

Medicare PECOS Information:

PECOS PAC ID: 1052568656
Enrollment ID: I20120905000198

Medical Identifiers

Medical identifiers for Collette Lee King such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194857656	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	10843 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Medical Institute	5991609737	293

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. Collette Lee King allows following entities to bill medicare on her behalf.

Entity Name	Providence Medical Institute
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417915760 PECOS PAC ID: 5991609737 Enrollment ID: O20031121000910

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. Collette Lee King 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
Collette Lee King, FNP 29525 Canwood St, Suite 300, Agoura Hills, CA 91301-4233 Ph: (818) 706-2477	Collette Lee King, FNP 29525 Canwood St, Suite 300, Agoura Hills, CA 91301-4233 Ph: (818) 706-2477

Reviews and Comments

Nurse Practitioner Nurses in Agoura Hills, CA

Aryan Jamali, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 30423 Canwood St Ste 225, Agoura Hills, CA 91301 Phone: 818-871-9518 Fax: 818-871-9521
Jennifer Rusnanto Ng, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 29525 Canwood St Ste 200, Agoura Hills, CA 91301 Phone: 818-699-6553
Young Tae Lee, PNHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 30423 Canwood St Ste 123, Agoura Hills, CA 91301 Phone: 818-385-1219 Fax: 818-385-1600
Eunice Fernandez, MSN, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5623 Kanan Rd, Agoura Hills, CA 91301 Phone: 818-991-5522
Sara Vaghar, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5012 Chesebro Rd Ste 200, Agoura Hills, CA 91301 Phone: 925-282-1778 Fax: 415-296-5299
Micole Alesia Brookins, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5012 Chesebro Rd Ste 200, Agoura Hills, CA 91301 Phone: 925-282-1778

Collette Lee King, FNP - Medicare Nurse Practitioner in Agoura Hills, CA