Indya E Willingham, FNP-BC in Detroit, MI - Medicare Nurse Practitioner

Indya E Willingham, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Detroit, Michigan. Her current practice location is 18000 E Warren Ave, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 343-5649.

Indya E Willingham is licensed to practice in Michigan (license number 4704317313) 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 1487368197.

Contact Information

	Indya E Willingham, FNP-BC
	18000 E Warren Ave, Detroit, MI 48224-1336
	(313) 343-5649
	Not Available

Map and Direction

Provider's Profile

Full Name	Indya E Willingham
Gender	Female
Speciality	Nurse Practitioner - Family
Location	18000 E Warren Ave, Detroit, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487368197
Provider Enumeration Date: 01/09/2023
Last Update Date: 08/20/2024

Medicare PECOS Information:

PECOS PAC ID: 2466811898
Enrollment ID: I20230703002798

Medical Identifiers

Medical identifiers for Indya E Willingham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487368197	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	4704317313 (Michigan)	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. Indya E Willingham allows following entities to bill medicare on her behalf.

Entity Name	Nephro-care Md, Plc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336510072 PECOS PAC ID: 3971813635 Enrollment ID: O20151109001124

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. Indya E Willingham 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
Indya E Willingham, FNP-BC 1950 E Wattles Rd Ste 110, Troy, MI 48085-5099 Ph: (248) 453-9883	Indya E Willingham, FNP-BC 18000 E Warren Ave, Detroit, MI 48224-1336 Ph: (313) 343-5649

Reviews and Comments

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Indya E Willingham, FNP-BC - Medicare Nurse Practitioner in Detroit, MI