Mrs Renee L Willer, APRN is a medicare enrolled "Nurse Practitioner - Family" in House Springs, Missouri. She graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Lake Girl Inc and her current practice location is
4581 Gravois Rd, House Springs, Missouri. You can reach out to her office (for appointments etc.) via phone at
(636) 671-9980.
Mrs Renee L Willer is licensed to practice in Missouri (license number 138512) 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 1477530814.
Provider's Profile
| Full Name | Mrs Renee L Willer |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 19 Years |
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| Location | 4581 Gravois Rd, House Springs, Missouri |
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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. |
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Medical Education and Training:
- Mrs Renee L Willer graduated from nursing school in 2005
NPI Data:
- NPI Number: 1477530814
- Provider Enumeration Date: 12/28/2005
- Last Update Date: 01/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 0345264925
- Enrollment ID: I20060123000340
Medical Identifiers
Medical identifiers for Mrs Renee L Willer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477530814 | NPI | - | NPPES |
| 138513 | Other | MO | LICENSE |
| 1477530814 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 138512 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Lake Girl Inc | 6204057334 | 2 |
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. Mrs Renee L Willer allows following entities to bill medicare on her behalf.
| Entity Name | Lake Girl Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255730446
PECOS PAC ID: 6204057334
Enrollment ID: O20141014002343 |
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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. Mrs Renee L Willer 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 |
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Mrs Renee L Willer, APRN
4581 Gravois Rd,
House Springs, MO 63051-1374
Ph: (636) 671-9980 | Mrs Renee L Willer, APRN
4581 Gravois Rd,
House Springs, MO 63051-1374
Ph: (636) 671-9980 |
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