Mitzi Henderson, LCSW in Russellville, AR - Medicare Clinical Social Worker Provider

Mitzi Henderson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Russellville, Arkansas. She graduated from medical school in 2015 and has 10 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Friendship Community Care Inc and her current practice location is 500 W Main St Ste 302, Russellville, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 264-0606.

Mitzi Henderson is licensed to practice in Arkansas (license number 7671-C) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1366877623.

Contact Information

	Mitzi Henderson, LCSW
	500 W Main St Ste 302, Russellville, AR 72801-3630
	(479) 264-0606
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mitzi Henderson
Gender	Female
Speciality	Clinical Social Worker
Experience	10 Years
Location	500 W Main St Ste 302, Russellville, Arkansas
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mitzi Henderson graduated from medical school in 2015

NPI Data:

NPI Number: 1366877623
Provider Enumeration Date: 09/05/2013
Last Update Date: 09/08/2021

Medicare PECOS Information:

PECOS PAC ID: 7315355427
Enrollment ID: I20210408002625

Medical Identifiers

Medical identifiers for Mitzi Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366877623	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	7671-C (Arkansas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Friendship Community Care Inc	9335463496	14

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. Mitzi Henderson allows following entities to bill medicare on her behalf.

Entity Name	Friendship Community Care Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528144318 PECOS PAC ID: 9335463496 Enrollment ID: O20150120000780

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. Mitzi Henderson 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
Mitzi Henderson, LCSW 500 W Main St Ste 302, Russellville, AR 72801-3630 Ph: (479) 264-0606	Mitzi Henderson, LCSW 500 W Main St Ste 302, Russellville, AR 72801-3630 Ph: (479) 264-0606

Reviews and Comments

Social Worker in Russellville, AR

Tessa Riffell, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 110 Skyline Drive, Russellville, AR 72801 Phone: 479-968-1298 Fax: 479-968-6053
Danielle Beth Beck, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 110 Skyline Dr, Russellville, AR 72801 Phone: 479-967-5570 Fax: 479-890-5364
Tracy L Baxley Tullos, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3106 W 2nd Ct, Suite 1, Russellville, AR 72801 Phone: 479-880-5100 Fax: 479-880-5297
Mrs. Florence R Duffee, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2504 W Main St Ste C, Russellville, AR 72801 Phone: 479-967-2024 Fax: 479-967-9203
Mrs. Sandra Jean Mathes, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 210 N Shamrock Blvd, Russellville, AR 72802 Phone: 501-303-3105
Jennifer Lee Goodman, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 110 Skyline Dr, Russellville, AR 72801 Phone: 479-967-5570 Fax: 479-890-5364

Mitzi Henderson, LCSW - Medicare Clinical Social Worker in Russellville, AR