Caroline Henry, is a medicare enrolled "Physician Assistant" provider in Los Angeles, California. Her current practice location is
1745 W 82nd St, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at
(323) 633-2396.
Caroline Henry is licensed to practice in California (license number ) 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 1114300829.
Healthcare Provider's Profile
Full Name | Caroline Henry |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 1745 W 82nd St, Los Angeles, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1114300829
- Provider Enumeration Date: 06/30/2015
- Last Update Date: 01/27/2025
Medicare PECOS Information:
- PECOS PAC ID: 1759813397
- Enrollment ID: I20241104003843
Medical Identifiers
Medical identifiers for Caroline Henry such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114300829 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
363A00000X | Physician Assistant | (California) | Primary |
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. Caroline Henry 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 |
Caroline Henry, 1745 W 82nd St, Los Angeles, CA 90047-2738 Ph: () - | Caroline Henry, 1745 W 82nd St, Los Angeles, CA 90047-2738 Ph: (323) 633-2396 |
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