Elizabeth Anne Henderson, MD is a medicare enrolled "Pediatrics" physician in Colleyville, Texas. Her current practice location is
5232 Colleyville Blvd, Suite 100, Colleyville, Texas. You can reach out to her office (for appointments etc.) via phone at
(817) 912-9920.
Elizabeth Anne Henderson is licensed to practice in Texas (license number M8033) 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 1275716664.
Physician's Profile
Full Name | Elizabeth Anne Henderson |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 5232 Colleyville Blvd, Colleyville, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1275716664
- Provider Enumeration Date: 12/09/2007
- Last Update Date: 02/03/2012
Medicare PECOS Information:
- PECOS PAC ID: 8820988090
- Enrollment ID: I20111019000376
Medical Identifiers
Medical identifiers for Elizabeth Anne Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275716664 | NPI | - | NPPES |
191385702 | Medicaid | TX | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | M8033 (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. Elizabeth Anne Henderson allows following entities to bill medicare on her behalf.
Entity Name | Healthtexas Provider Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1760488936 PECOS PAC ID: 1355254210 Enrollment ID: O20040727001187 |
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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. Elizabeth Anne 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 |
Elizabeth Anne Henderson, MD 5232 Colleyville Blvd, Suite 100, Colleyville, TX 76034-7826 Ph: (817) 912-9920 | Elizabeth Anne Henderson, MD 5232 Colleyville Blvd, Suite 100, Colleyville, TX 76034-7826 Ph: (817) 912-9920 |
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