Dr Leanette Henagan, DBH LCSW, LISAC is a medicare enrolled "Social Worker - Clinical" provider in Phoenix, Arizona. Her current practice location is
3039 W Peoria Ave, Ste 102-429, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at
(602) 469-9040.
Dr Leanette Henagan is licensed to practice in Arizona (license number LCSW-13621) 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 1811355118.
Healthcare Provider's Profile
| Full Name | Dr Leanette Henagan |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 3039 W Peoria Ave, Phoenix, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1811355118
- Provider Enumeration Date: 02/02/2016
- Last Update Date: 09/03/2020
Medicare PECOS Information:
- PECOS PAC ID: 8224456439
- Enrollment ID: I20200918001762
Medical Identifiers
Medical identifiers for Dr Leanette Henagan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1811355118 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LISAC-11452 (Arizona) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW-13621 (Arizona) | 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. Dr Leanette Henagan allows following entities to bill medicare on her behalf.
| Entity Name | Sun Pain Management Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427230788
PECOS PAC ID: 6800986340
Enrollment ID: O20071220000170 |
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| Entity Name | Sun Integrated Care Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578234829
PECOS PAC ID: 1052709888
Enrollment ID: O20211028001063 |
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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. Dr Leanette Henagan 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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Dr Leanette Henagan, DBH LCSW, LISAC
3039 W Peoria Ave, Ste 102-429,
Phoenix, AZ 85029-5212
Ph: (602) 469-9040 | Dr Leanette Henagan, DBH LCSW, LISAC
3039 W Peoria Ave, Ste 102-429,
Phoenix, AZ 85029-5212
Ph: (602) 469-9040 |
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