Mrs Elizabeth Ashlee Henderson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Cerritos, California. Her current practice location is
17707 Studebaker Rd, Cerritos, California. You can reach out to her office (for appointments etc.) via phone at
(562) 467-0209.
Mrs Elizabeth Ashlee Henderson is licensed to practice in California (license number LCSW75238) 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 1164774576.
Healthcare Provider's Profile
Full Name | Mrs Elizabeth Ashlee Henderson |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 17707 Studebaker Rd, Cerritos, 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: 1164774576
- Provider Enumeration Date: 10/09/2012
- Last Update Date: 02/20/2020
Medicare PECOS Information:
- PECOS PAC ID: 3375934185
- Enrollment ID: I20220104002646
Medical Identifiers
Medical identifiers for Mrs Elizabeth Ashlee Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164774576 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | LCSW75238 (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. Mrs Elizabeth Ashlee Henderson allows following entities to bill medicare on her behalf.
Entity Name | Medard Sison Np, A Professional Nursing Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1528693579 PECOS PAC ID: 5294151635 Enrollment ID: O20200817002415 |
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Entity Name | Renewed Medical Group A Professional Medical Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922785690 PECOS PAC ID: 9335682541 Enrollment ID: O20240617001244 |
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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. Mrs Elizabeth Ashlee 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 |
Mrs Elizabeth Ashlee Henderson, LCSW 17707 Studebaker Rd, Cerritos, CA 90703-2640 Ph: (562) 467-0209 | Mrs Elizabeth Ashlee Henderson, LCSW 17707 Studebaker Rd, Cerritos, CA 90703-2640 Ph: (562) 467-0209 |
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