Dr Elise Marie Henricks, MD in Dorchester, MA

Dr Elise Marie Henricks, MD is a medicare enrolled "Family Medicine" physician in Dorchester, Massachusetts. She went to University Of Rochester School Of Medicine And Dentistry and graduated in 1995 and has 29 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Uphams Corner Health Committee Inc and her current practice location is 415 Columbia Rd, Dorchester, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 740-8075.

Dr Elise Marie Henricks is licensed to practice in Massachusetts (license number 156706) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1154392850.

Contact Information

	Dr Elise Marie Henricks, MD
	415 Columbia Rd, Dorchester, MA 02125-2424
	(617) 740-8075
	(617) 740-8060

Map and Direction

Physician's Profile

Full Name	Dr Elise Marie Henricks
Gender	Female
Speciality	Family Practice
Experience	29 Years
Location	415 Columbia Rd, Dorchester, Massachusetts
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Elise Marie Henricks attended and graduated from University Of Rochester School Of Medicine And Dentistry in 1995

NPI Data:

NPI Number: 1154392850
Provider Enumeration Date: 01/30/2006
Last Update Date: 01/09/2012

Medicare PECOS Information:

PECOS PAC ID: 4183748676
Enrollment ID: I20100907000418

Medical Identifiers

Medical identifiers for Dr Elise Marie Henricks such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154392850	NPI	-	NPPES
710514BMC	Other		HARVARD PILGRIM
J19583	Other		HMO BLUE
44447	Other		AETNA/USHEALTHCARE
156706	Other		TUFTS
3184846	Medicaid	MA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	156706 (Massachusetts)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Boston Medical Center	Boston, MA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Uphams Corner Health Committee Inc	4284645086	23

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. Dr Elise Marie Henricks allows following entities to bill medicare on her behalf.

Entity Name	Uphams Corner Health Committee Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780780486 PECOS PAC ID: 4284645086 Enrollment ID: O20060508000841

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. Dr Elise Marie Henricks 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
Dr Elise Marie Henricks, MD 415 Columbia Rd, Dorchester, MA 02125-2424 Ph: (617) 740-8075	Dr Elise Marie Henricks, MD 415 Columbia Rd, Dorchester, MA 02125-2424 Ph: (617) 740-8075

Reviews and Comments

Family Medicine Doctors in Dorchester, MA

Dr. Geoffrey Alan Modest, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Columbia Rd, Dorchester, MA 02125 Phone: 617-287-8000 Fax: 617-282-8625
Valerie Efonda Sanders, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 250 Mount Vernon St, Dorchester, MA 02125 Phone: 617-288-1140
Dr. Daniel Cagua-koo, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 250 Mount Vernon St, Dorchester, MA 02125 Phone: 617-288-1140
Dr. Chinh Van Le, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2100 Dorchester Avenue, Family Medicine, Dorchester, MA 02124 Phone: 617-506-4970 Fax: 617-825-2352
Dr. Amrutha Denduluri, MBBS, MPH Family Medicine Medicare: Medicare Enrolled Practice Location: 637 Washington Street, Dorchester, MA 02124 Phone: 617-825-9660
Glennon John Ogrady, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2100 Dorchester Avenue, Family Medicine, Dorchester, MA 02124 Phone: 617-506-4970 Fax: 978-686-4137

Dr Elise Marie Henricks, MD - Medicare Family Practice in Dorchester, MA