Dr Kristi Dawn Henderson, MD - Medicare Family Medicine in Atlanta, TX

  1. Home
  2. Family Medicine
  3. TX
  4. Atlanta
Dr Kristi Dawn Henderson, MD is a medicare enrolled "Family Medicine" physician in Atlanta, Texas. Her current practice location is 1011 S William St, Atlanta, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 796-2868.

Dr Kristi Dawn Henderson is licensed to practice in Texas (license number K2922) 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 1164433298.

Contact Information

Dr Kristi Dawn Henderson, MD
1011 S William St,
Atlanta, TX 75551-3245
(903) 796-2868
(903) 796-0826

Map and Direction




Physician's Profile

Full NameDr Kristi Dawn Henderson
GenderFemale
SpecialityFamily Medicine
Location1011 S William St, Atlanta, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164433298
  • Provider Enumeration Date: 08/11/2006
  • Last Update Date: 01/14/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9436208311
  • Enrollment ID: I20090526000185

Medical Identifiers

Medical identifiers for Dr Kristi Dawn Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164433298NPI-NPPES
8F1320OtherTXBCBS
080181190OtherMEDICARE RR
096544403MedicaidTX
5L214OtherARBCBS
A013OtherCHAMPUS
119401OtherCHIPS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine E-2181 (Arkansas)Secondary
207Q00000XFamily Medicine K2922 (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. Dr Kristi Dawn Henderson allows following entities to bill medicare on her behalf.
Entity NameTexas Emergency Staffing Solutions Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811942949
PECOS PAC ID: 0345297610
Enrollment ID: O20050407001290
Entity NameRound Table Physicians Group Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023439114
PECOS PAC ID: 0547682460
Enrollment ID: O20200623002513

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 Kristi Dawn 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
Dr Kristi Dawn Henderson, MD
900 N Louise St,
Atlanta, TX 75551-1725

Ph: (903) 556-2265		Dr Kristi Dawn Henderson, MD
1011 S William St,
Atlanta, TX 75551-3245

Ph: (903) 796-2868

Reviews and Comments


Family Medicine Doctors in Atlanta, TX

Dr. Edward Timothy Okelley, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1011 South William, Atlanta, TX 75551
Phone: 903-796-2868    Fax: 903-796-0826
Dr. Joe Daniel Nichols Jr., MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1011 South William, Atlanta, TX 75551
Phone: 903-796-2868    Fax: 903-796-0826
Dr. Richard Leroy Hozdic Ii, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 305 N William St, Atlanta, TX 75551
Phone: 903-614-3630    Fax: 903-614-3525
Dr. Matthew James Hogan, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1011 S William St, Atlanta, TX 75551
Phone: 903-796-2868    Fax: 903-796-0826

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.