Miss Shereca Henderson, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Tulsa, Oklahoma. Her current practice location is
2488 E 81st St Ste 485, Tulsa, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(918) 932-1117.
Miss Shereca Henderson is licensed to practice in Oklahoma (license number 216803) 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 1730529579.
Healthcare Provider's Profile
Full Name | Miss Shereca Henderson |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 2488 E 81st St Ste 485, Tulsa, Oklahoma |
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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: 1730529579
- Provider Enumeration Date: 06/25/2013
- Last Update Date: 06/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 4486196011
- Enrollment ID: I20240611000360
Medical Identifiers
Medical identifiers for Miss Shereca Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730529579 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 216803 (Oklahoma) | 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. Miss Shereca Henderson allows following entities to bill medicare on her behalf.
Entity Name | Homecare Advisors Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1689152894 PECOS PAC ID: 3173877362 Enrollment ID: O20181106001447 |
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Entity Name | At Home By Choice Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1497170609 PECOS PAC ID: 5890110456 Enrollment ID: O20200729000156 |
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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. Miss Shereca 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 |
Miss Shereca Henderson, APRN 2488 E 81st St Ste 485, Tulsa, OK 74137-4265 Ph: (918) 932-1117 | Miss Shereca Henderson, APRN 2488 E 81st St Ste 485, Tulsa, OK 74137-4265 Ph: (918) 932-1117 |
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