Susan Donna Willis, RN, FNP in Fair Oaks, CA - Medicare Nurse Practitioner

Susan Donna Willis, RN, FNP is a medicare enrolled "Nurse Practitioner - Family" in Fair Oaks, California. Her current practice location is 6608 Mercy Ct Ste C, Fair Oaks, California. You can reach out to her office (for appointments etc.) via phone at (916) 966-8585.

Susan Donna Willis is licensed to practice in California (license number 22615) 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 1396080396.

Contact Information

	Susan Donna Willis, RN, FNP
	6608 Mercy Ct Ste C, Fair Oaks, CA 95628-3171
	(916) 966-8585
	Not Available

Map and Direction

Provider's Profile

Full Name	Susan Donna Willis
Gender	Female
Speciality	Nurse Practitioner - Family
Location	6608 Mercy Ct Ste C, Fair Oaks, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396080396
Provider Enumeration Date: 12/01/2012
Last Update Date: 12/01/2012

Medicare PECOS Information:

PECOS PAC ID: 3971803883
Enrollment ID: I20160809000455

Medical Identifiers

Medical identifiers for Susan Donna Willis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396080396	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	22615 (California)	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. Susan Donna Willis allows following entities to bill medicare on her behalf.

Entity Name	Onclick Healthcare Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467074963 PECOS PAC ID: 9830511260 Enrollment ID: O20200612000107

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. Susan Donna Willis 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
Susan Donna Willis, RN, FNP 6608 Mercy Ct Ste C, Fair Oaks, CA 95628-3171 Ph: (916) 966-8585	Susan Donna Willis, RN, FNP 6608 Mercy Ct Ste C, Fair Oaks, CA 95628-3171 Ph: (916) 966-8585

Reviews and Comments

Nurse Practitioner Nurses in Fair Oaks, CA

Nirlaip Kaur Chahal, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6608 Mercy Ct Ste B, Fair Oaks, CA 95628 Phone: 916-241-9844
Ms. Mei Kuen Erica To, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8101 Greenback Ln, Fair Oaks, CA 95628 Phone: 916-726-4466
Mrs. Michelle Yonkus, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8101 Greenback Ln, Fair Oaks, CA 95628 Phone: 866-389-2727
Sau-mi Priscilla Fan, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6608 Mercy Ct Ste B, Fair Oaks, CA 95628 Phone: 916-241-9844 Fax: 916-241-9844
Mrs. Christina Marie Walker, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8101 Greenback Ln, Fair Oaks, CA 95628 Phone: 916-726-4466
Amritpal Kaur Brar, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6608 Mercy Ct, Suite B, Fair Oaks, CA 95628 Phone: 916-241-9844
Divya Nalli, MSN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6600 Mercy Ct Ste 260, Fair Oaks, CA 95628 Phone: 916-545-6001 Fax: 916-436-7944

Susan Donna Willis, RN, FNP - Medicare Nurse Practitioner in Fair Oaks, CA