Katherine Otecca Wills, AGACNP-BC | |
3801 N Lamar Blvd, Austin, TX 78756-4080 | |
(512) 407-7000 | |
Not Available |
Full Name | Katherine Otecca Wills |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 3801 N Lamar Blvd, Austin, Texas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609487099 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LC0200X | Nurse Practitioner - Critical Care Medicine | AP143657 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St David's Medical Center | Austin, TX | Hospital |
Seton Medical Center Harker Heights | Harker heights, TX | Hospital |
Rollins Brook Community Hospital | Lampasas, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Davids Heart And Vascular Pllc | 7012821879 | 171 |
Entity Name | St Davids Heart & Vascular Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700887700 PECOS PAC ID: 7012821879 Enrollment ID: O20031117000103 |
Mailing Address | Practice Location Address |
---|---|
Katherine Otecca Wills, AGACNP-BC 751 Cherico St Unit 2, Austin, TX 78702-4002 Ph: (737) 247-6551 | Katherine Otecca Wills, AGACNP-BC 3801 N Lamar Blvd, Austin, TX 78756-4080 Ph: (512) 407-7000 |
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