Dr Shelley Joyceanne Thomas Henderson, MD - Medicare Family Medicine in Philadelphia, PA

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Dr Shelley Joyceanne Thomas Henderson, MD is a medicare enrolled "Family Medicine" physician in Philadelphia, Pennsylvania. Her current practice location is 501 S 54th St, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 240-4820.

Dr Shelley Joyceanne Thomas Henderson is licensed to practice in Pennsylvania (license number MD478911) 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 1962963736.

Contact Information

Dr Shelley Joyceanne Thomas Henderson, MD
501 S 54th St,
Philadelphia, PA 19143-1900
(215) 240-4820
Not Available

Map and Direction




Physician's Profile

Full NameDr Shelley Joyceanne Thomas Henderson
GenderFemale
SpecialityFamily Medicine
Location501 S 54th St, Philadelphia, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1962963736
  • Provider Enumeration Date: 03/26/2019
  • Last Update Date: 09/30/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4385029313
  • Enrollment ID: I20220912002914

Medical Identifiers

Medical identifiers for Dr Shelley Joyceanne Thomas Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962963736NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MD478911 (Pennsylvania)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 Shelley Joyceanne Thomas Henderson allows following entities to bill medicare on her behalf.
Entity NamePublic Health Management Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881779866
PECOS PAC ID: 1850307406
Enrollment ID: O20060504000213
Entity NameUniversity Of Penn-medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235527342
PECOS PAC ID: 6204730955
Enrollment ID: O20141111000091
Entity NameUniversity Of Penn-medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053447151
PECOS PAC ID: 6204730955
Enrollment ID: O20150304001436
Entity NameTrustees Of The University Of Pennsylvania
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124882949
PECOS PAC ID: 2062326507
Enrollment ID: O20240424002545

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 Shelley Joyceanne Thomas 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 Shelley Joyceanne Thomas Henderson, MD
501 S 54th St,
Philadelphia, PA 19143-1900

Ph: (215) 240-4820		Dr Shelley Joyceanne Thomas Henderson, MD
501 S 54th St,
Philadelphia, PA 19143-1900

Ph: (215) 240-4820

Reviews and Comments


Family Medicine Doctors in Philadelphia, PA

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Dr. Seung Hee Hong, MD
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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.