Tayler Henderson, is a medicare enrolled "Social Worker - Clinical" provider in Los Angeles, California. Her current practice location is
8019 S. Compton Ave, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at
(323) 586-7333.
Tayler Henderson is licensed to practice in California (license number 87081LCSW) 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 1750767554.
Healthcare Provider's Profile
Full Name | Tayler Henderson |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 8019 S. Compton Ave, 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: 1750767554
- Provider Enumeration Date: 08/04/2015
- Last Update Date: 12/07/2018
Medicare PECOS Information:
- PECOS PAC ID: 3375962152
- Enrollment ID: I20200928002286
Medical Identifiers
Medical identifiers for Tayler Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750767554 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | ACSW 71762 (California) | Secondary |
1041C0700X | Social Worker - Clinical | 87081LCSW (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. Tayler Henderson allows following entities to bill medicare on her behalf.
Entity Name | Tessie Cleveland Community Services Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1194850842 PECOS PAC ID: 6901079631 Enrollment ID: O20111025000673 |
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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. Tayler 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 |
Tayler Henderson, 8019 S. Compton Ave., Los Angeles, CA 90001 Ph: (323) 586-7333 | Tayler Henderson, 8019 S. Compton Ave, Los Angeles, CA 90001 Ph: (323) 586-7333 |
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