Dr Jessica Ann Henderson, PT is a medicare enrolled "Physical Therapist" physician in Acworth, Georgia. She graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Independent Physical Therapy Of Georgia Llc and her current practice location is
3450 Cobb Pkwy Nw Ste 220, Acworth, Georgia. You can reach out to her office (for appointments etc.) via phone at
(770) 974-1978.
Dr Jessica Ann Henderson is licensed to practice in Georgia (license number PT012429) 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 1225121031.
Physician's Profile
| Full Name | Dr Jessica Ann Henderson |
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| Gender | Female |
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| Speciality | Physical Therapy |
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| Experience | 19 Years |
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| Location | 3450 Cobb Pkwy Nw Ste 220, Acworth, Georgia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jessica Ann Henderson graduated from medical school in 2005
NPI Data:
- NPI Number: 1225121031
- Provider Enumeration Date: 10/02/2006
- Last Update Date: 08/11/2021
Medicare PECOS Information:
- PECOS PAC ID: 1254349400
- Enrollment ID: I20161006000594
Medical Identifiers
Medical identifiers for Dr Jessica Ann Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225121031 | NPI | - | NPPES |
| 7211905 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | 10130 (North Carolina) | Secondary |
| 225100000X | Physical Therapist | 5722 (South Carolina) | Secondary |
| 225100000X | Physical Therapist | PT012429 (Georgia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Independent Physical Therapy Of Georgia Llc | 2961312244 | 447 |
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 Jessica Ann Henderson allows following entities to bill medicare on her behalf.
| Entity Name | Independent Physical Therapy Of Georgia Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780636068
PECOS PAC ID: 2961312244
Enrollment ID: O20040303000396 |
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| Entity Name | Advance Rehabilitation & Consulting Limited Partnership |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235434283
PECOS PAC ID: 4082890645
Enrollment ID: O20110609000322 |
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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. Dr Jessica Ann 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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Dr Jessica Ann Henderson, PT
6397 Lee Hwy Ste 300,
Chattanooga, TN 37421-4915
Ph: () - | Dr Jessica Ann Henderson, PT
3450 Cobb Pkwy Nw Ste 220,
Acworth, GA 30101-8352
Ph: (770) 974-1978 |
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