Mrs Delores Clack Henderson, - Medicare Dietitian in Fresno, TX

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Mrs Delores Clack Henderson, is a medicare enrolled "Dietitian, Registered" provider in Fresno, Texas. Her current practice location is 1615 Misty Fawn Ln, Fresno, Texas. You can reach out to her office (for appointments etc.) via phone at (713) 410-0475.

Mrs Delores Clack Henderson is licensed to practice in Texas (license number DT01206) 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 1558702035.

Contact Information

Mrs Delores Clack Henderson,
1615 Misty Fawn Ln,
Fresno, TX 77545-9502
(713) 410-0475
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMrs Delores Clack Henderson
GenderFemale
SpecialityDietitian, Registered
Location1615 Misty Fawn Ln, Fresno, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1558702035
  • Provider Enumeration Date: 07/11/2013
  • Last Update Date: 07/11/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 7012151327
  • Enrollment ID: I20130926000079

Medical Identifiers

Medical identifiers for Mrs Delores Clack Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558702035NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered DT01206 (Texas)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 Delores Clack Henderson allows following entities to bill medicare on her behalf.
Provider NameAmerican Health Assessments, Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1497027098
PECOS PAC ID: 3870755564
Enrollment ID: O20120425000323

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 Delores Clack 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 AddressPractice Location Address
Mrs Delores Clack Henderson,
1615 Misty Fawn Ln,
Fresno, TX 77545-9502

Ph: (713) 410-0475		Mrs Delores Clack Henderson,
1615 Misty Fawn Ln,
Fresno, TX 77545-9502

Ph: (713) 410-0475

Reviews and Comments


Dietitian, Registered in Fresno, TX

Shana Delise Mcgowan, MS,RDN, LD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 2334 Manchester Crossing Dr, Fresno, TX 77545
Phone: 832-207-3961    
Melanie Thomas, RDN, LD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 4722 Pickridge Ct, Fresno, TX 77545
Phone: 832-469-0155    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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