Johnny (blaine) Henderson, MD in Flagstaff, AZ

Johnny (blaine) Henderson, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Flagstaff, Arizona. He went to Texas Tech University Health Science Center School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Northern Arizona Healthcare Corporation and his current practice location is 1200 N Beaver St, Flagstaff, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 213-6415.

Johnny (blaine) Henderson is licensed to practice in Arizona (license number 48599) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1659492627.

Contact Information

	Johnny (blaine) Henderson, MD
	1200 N Beaver St, Flagstaff, AZ 86001-3118
	(928) 213-6415
	(928) 213-6409

Map and Direction

Physician's Profile

Full Name	Johnny (blaine) Henderson
Gender	Male
Speciality	Psychiatry
Experience	19 Years
Location	1200 N Beaver St, Flagstaff, Arizona
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Johnny (blaine) Henderson attended and graduated from Texas Tech University Health Science Center School Of Medicine in 2005

NPI Data:

NPI Number: 1659492627
Provider Enumeration Date: 04/03/2007
Last Update Date: 12/18/2015

Medicare PECOS Information:

PECOS PAC ID: 1658444096
Enrollment ID: I20140430001464

Medical Identifiers

Medical identifiers for Johnny (blaine) Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659492627	NPI	-	NPPES
879791	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	48599 (Arizona)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Flagstaff Medical Center	Flagstaff, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northern Arizona Healthcare Corporation	3577473362	352

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. Johnny (blaine) Henderson allows following entities to bill medicare on his behalf.

Entity Name	Northern Arizona Healthcare Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669914552 PECOS PAC ID: 3577473362 Enrollment ID: O20170801003409

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. Johnny (blaine) 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
Johnny (blaine) Henderson, MD 1200 N Beaver St, Payer Credentialing, Flagstaff, AZ 86001-3118 Ph: (928) 773-2559	Johnny (blaine) Henderson, MD 1200 N Beaver St, Flagstaff, AZ 86001-3118 Ph: (928) 213-6415

Reviews and Comments

Psychiatry & Neurology Doctors in Flagstaff, AZ

Ernesto F Figueroa, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2187 N Vickey St, Flagstaff, AZ 86004 Phone: 928-527-1899 Fax: 928-527-0028
Dr. Thomas J Gaughan, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-213-6411
Dr. Adam Graff, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-213-6415 Fax: 928-213-6409
Dr. Sara Faith Gibson, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1300 S Yale St, Flagstaff, AZ 86001 Phone: 928-774-7128
Dr. Mary L Delduca, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1515 N San Francisco St, Flagstaff, AZ 86001 Phone: 928-774-1538 Fax: 928-774-2801
Matthew Alan Bond, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-213-6415
Dr. Travis Clark Stiegler, D.O. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1501 S Yale St, Ste 250, Flagstaff, AZ 86001 Phone: 928-556-0707 Fax: 928-779-2223

Johnny (blaine) Henderson, MD - Medicare Psychiatry in Flagstaff, AZ