Kimberly J Henderson, MD - Medicare Emergency Medicine in Monroe, NC

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Kimberly J Henderson, MD is a medicare enrolled "Emergency Medicine" physician in Monroe, North Carolina. She went to Georgetown University School Of Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Icahn School Of Medicine At Mount Sinai and her current practice location is 1251 Stafford St Unit 6, Monroe, North Carolina. You can reach out to her office (for appointments etc.) via phone at (980) 290-5515.

Kimberly J Henderson is licensed to practice in North Carolina (license number 2020-00646) 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 1366592859.

Contact Information

Kimberly J Henderson, MD
1251 Stafford St Unit 6,
Monroe, NC 28110-3349
(980) 290-5515
Not Available

Map and Direction




Physician's Profile

Full NameKimberly J Henderson
GenderFemale
SpecialityEmergency Medicine
Experience24 Years
Location1251 Stafford St Unit 6, Monroe, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kimberly J Henderson attended and graduated from Georgetown University School Of Medicine in 2000
  NPI Data:
  • NPI Number: 1366592859
  • Provider Enumeration Date: 01/10/2007
  • Last Update Date: 11/03/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7416924170
  • Enrollment ID: I20040913000602

Medical Identifiers

Medical identifiers for Kimberly J Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366592859NPI-NPPES
02574490MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine MD15533 (Rhode Island)Secondary
207P00000XEmergency Medicine 4301110971 (Michigan)Secondary
207P00000XEmergency Medicine 60922767 (Washington)Secondary
207P00000XEmergency Medicine 01077015A (Indiana)Secondary
207P00000XEmergency Medicine 11085788-1205 (Utah)Secondary
207P00000XEmergency Medicine MD043819 (District Of Columbia)Secondary
207P00000XEmergency Medicine MD20776 (Maine)Secondary
207P00000XEmergency Medicine MD466064 (Pennsylvania)Secondary
207P00000XEmergency Medicine 25MA09842100 (New Jersey)Secondary
207P00000XEmergency Medicine 54929 (Connecticut)Secondary
207P00000XEmergency Medicine DO080667 (Maryland)Secondary
207PE0004XEmergency Medicine - Emergency Medical Services 232889 (New York)Secondary
207P00000XEmergency Medicine 2020-00646 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mount Sinai Beth IsraelNew york, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Icahn School Of Medicine At Mount Sinai185051425826

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. Kimberly J Henderson allows following entities to bill medicare on her behalf.
Entity NameIcahn School Of Medicine At Mount Sinai
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275802811
PECOS PAC ID: 2264691070
Enrollment ID: O20120315000035
Entity NameIcahn School Of Medicine At Mount Sinai
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477899078
PECOS PAC ID: 2264691070
Enrollment ID: O20130717000798
Entity NameFpa Hospital Based
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629319413
PECOS PAC ID: 4789826694
Enrollment ID: O20130806000185
Entity NameIcahn School Of Medicine At Mount Sinai
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124392238
PECOS PAC ID: 1850514258
Enrollment ID: O20140603000259
Entity NameHamaspik Of Kings County, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700120888
PECOS PAC ID: 8628472768
Enrollment ID: O20210811001335
Entity NameHamaspik Of Orange County Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013670538
PECOS PAC ID: 8224429527
Enrollment ID: O20220124001775

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. Kimberly J 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
Kimberly J Henderson, MD
80 Warren St, #32,
New York, NY 10007-1013

Ph: (917) 471-0923		Kimberly J Henderson, MD
1251 Stafford St Unit 6,
Monroe, NC 28110-3349

Ph: (980) 290-5515

Reviews and Comments


Emergency Medicine Doctors in Monroe, NC

Dr. Brett Glenn Murphy, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 600 Hospital Drive, Monroe, NC 28112
Phone: 704-283-3100    
John Hartness,
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 600 Hospital Dr, Monroe, NC 28112
Phone: 704-283-3391    
Brad Joseph Bissell, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1423 E Franklin St, Ste B, Monroe, NC 28112
Phone: 704-290-5020    
Kathryn Shaw, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 600 Hospital Dr, Department Of Emergency Medicine, Monroe, NC 28112
Phone: 980-993-3100    
Dr. Clayton Vance Long, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 600 Hospital Dr, Monroe, NC 28112
Phone: 980-993-3100    
Dr. Richard Arriviello Jr., D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3007 Wesley Chapel Stouts Rd Ste B, Monroe, NC 28110
Phone: 704-412-3612    Fax: 704-412-3614

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.