Kelli Danielle Willingham, FNP in Leesburg, VA

Kelli Danielle Willingham, FNP is a medicare enrolled "Nurse Practitioner - Family" in Leesburg, Virginia. Her current practice location is 19490 Sandridge Way, Suite 230, Leesburg, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 858-5885.

Kelli Danielle Willingham is licensed to practice in Virginia (license number F07230133) 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 1306523014.

Contact Information

	Kelli Danielle Willingham, FNP
	19490 Sandridge Way, Suite 230, Leesburg, VA 20176-3467
	(703) 858-5885
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelli Danielle Willingham
Gender	Female
Speciality	Nurse Practitioner - Family
Location	19490 Sandridge Way, Suite 230, Leesburg, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306523014
Provider Enumeration Date: 07/04/2023
Last Update Date: 03/06/2024

Medicare PECOS Information:

PECOS PAC ID: 3779947924
Enrollment ID: I20230907000150

Medical Identifiers

Medical identifiers for Kelli Danielle Willingham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306523014	NPI	-	NPPES
30017669790001	Medicaid	VA
1306523014	Medicaid	VA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F07230133 (Virginia)	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. Kelli Danielle Willingham allows following entities to bill medicare on her behalf.

Entity Name	Loudoun Medical Group, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679591440 PECOS PAC ID: 0042119661 Enrollment ID: O20041115000474

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. Kelli Danielle 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
Kelli Danielle Willingham, FNP 224-d Cornwall Street, Nw, Suite 403, Leesburg, VA 20176-2704 Ph: (703) 737-6010	Kelli Danielle Willingham, FNP 19490 Sandridge Way, Suite 230, Leesburg, VA 20176-3467 Ph: (703) 858-5885

Reviews and Comments

Nurse Practitioner Nurses in Leesburg, VA

Carol Gavin, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19 Fort Evans Rd Ne Ste C, Leesburg, VA 20176 Phone: 703-737-2110 Fax: 703-737-2111
Gillian Zeile, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 44035 Riverside Pkwy, Suite 300, Leesburg, VA 20176 Phone: 703-554-6800
Mrs. Megan Franklin Pirowski, RN, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 44055 Riverside Pkwy, Leesburg, VA 20176 Phone: 703-858-8878
Mrs. Adrianne J Gruner, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 163 Fort Evans Rd Ne, Leesburg, VA 20176 Phone: 703-443-2000
Alice R Spiros, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 44035 Riverside Pkwy Ste 300, Leesburg, VA 20176 Phone: 703-554-6800 Fax: 703-724-7503
Darren John Hunt, RN, MSN, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 44045 Riverside Pkwy Ste 100, Leesburg, VA 20176 Phone: 703-858-8878 Fax: 703-858-8170
Mrs. Catherine Marie Staats, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 44045 Riverside Pkwy, Leesburg, VA 20176 Phone: 703-858-8878 Fax: 703-858-8701

Kelli Danielle Willingham, FNP - Medicare Nurse Practitioner in Leesburg, VA