Judy Lynn Henderson, MS, RD, LDN is a medicare enrolled "Dietitian, Registered" provider in Lewisburg, Tennessee. Her current practice location is
3444 Coble Rd, Lewisburg, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(615) 712-0918.
Judy Lynn Henderson is licensed to practice in * (Not Available) (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 1558074302.
Healthcare Provider's Profile
| Full Name | Judy Lynn Henderson |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 3444 Coble Rd, Lewisburg, Tennessee |
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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: 1558074302
- Provider Enumeration Date: 12/26/2022
- Last Update Date: 12/26/2022
Medicare PECOS Information:
- PECOS PAC ID: 3274999420
- Enrollment ID: I20230515001761
Medical Identifiers
Medical identifiers for Judy Lynn Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1558074302 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | (* (Not Available)) | 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. Judy Lynn Henderson allows following entities to bill medicare on her behalf.
| Provider Name | Edisonhealth Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1447850912
PECOS PAC ID: 7214332220
Enrollment ID: O20210827003081 |
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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. Judy Lynn 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 |
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Judy Lynn Henderson, MS, RD, LDN
3444 Coble Rd,
Lewisburg, TN 37091-6551
Ph: (615) 712-0918 | Judy Lynn Henderson, MS, RD, LDN
3444 Coble Rd,
Lewisburg, TN 37091-6551
Ph: (615) 712-0918 |
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