Collette Lee King, FNP - Medicare Nurse Practitioner in Agoura Hills, CA

Collette Lee King, FNP is a medicare enrolled "Nurse Practitioner - Family" in Agoura Hills, California. She graduated from nursing school in 1999 and has 25 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Providence Medical Institute and her current practice location is 29525 Canwood St, Suite 300, Agoura Hills, California. You can reach out to her office (for appointments etc.) via phone at (818) 706-2477.

Collette Lee King is licensed to practice in California (license number 10843) 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 1194857656.

Contact Information

Collette Lee King, FNP
29525 Canwood St, Suite 300,
Agoura Hills, CA 91301-4233
(818) 706-2477
(818) 706-2368



Provider's Profile

Full NameCollette Lee King
GenderFemale
SpecialityNurse Practitioner
Experience25 Years
Location29525 Canwood St, Agoura Hills, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Collette Lee King graduated from nursing school in 1999
  NPI Data:
  • NPI Number: 1194857656
  • Provider Enumeration Date: 03/11/2007
  • Last Update Date: 06/01/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1052568656
  • Enrollment ID: I20120905000198

Medical Identifiers

Medical identifiers for Collette Lee King such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194857656NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 10843 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Medical Institute5991609737290

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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. Collette Lee King allows following entities to bill medicare on her behalf.
Entity NameProvidence Medical Institute
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417915760
PECOS PAC ID: 5991609737
Enrollment ID: O20031121000910

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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. Collette Lee King 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 AddressPractice Location Address
Collette Lee King, FNP
29525 Canwood St, Suite 300,
Agoura Hills, CA 91301-4233

Ph: (818) 706-2477
Collette Lee King, FNP
29525 Canwood St, Suite 300,
Agoura Hills, CA 91301-4233

Ph: (818) 706-2477

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Nurse Practitioner Nurses in Agoura Hills, CA

Aryan Jamali,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 30423 Canwood St Ste 225, Agoura Hills, CA 91301
Phone: 818-871-9518    Fax: 818-871-9521
Jennifer Rusnanto Ng, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 29525 Canwood St Ste 200, Agoura Hills, CA 91301
Phone: 818-699-6553    
Young Tae Lee, PNHNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 30423 Canwood St Ste 123, Agoura Hills, CA 91301
Phone: 818-385-1219    Fax: 818-385-1600
Eunice Fernandez, MSN, NP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 5623 Kanan Rd, Agoura Hills, CA 91301
Phone: 818-991-5522    
Joeline Ellison, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 29343 Wagon Rd, Agoura Hills, CA 91301
Phone: 310-367-6210    
Yana Tregubova Khilkevich, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 28720 Roadside Dr # 333, Agoura Hills, CA 91301
Phone: 818-267-4154    

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