Kyle Joseph Henneberry, MD - Medicare Radiology in Woodinville, WA

  1. Home
  2. Radiology
  3. WA
  4. Woodinville
Kyle Joseph Henneberry, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Woodinville, Washington. His current practice location is 16040 Ne 153rd St, Woodinville, Washington. You can reach out to his office (for appointments etc.) via phone at (208) 416-2932.

Kyle Joseph Henneberry is licensed to practice in Washington (license number MD00047394) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1285723957.

Contact Information

Kyle Joseph Henneberry, MD
16040 Ne 153rd St,
Woodinville, WA 98072-8903
(208) 416-2932
(855) 673-9190

Map and Direction




Physician's Profile

Full NameKyle Joseph Henneberry
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location16040 Ne 153rd St, Woodinville, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1285723957
  • Provider Enumeration Date: 10/12/2006
  • Last Update Date: 07/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1759462856
  • Enrollment ID: I20110727000754

Medical Identifiers

Medical identifiers for Kyle Joseph Henneberry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285723957NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology MD00047394 (Washington)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. Kyle Joseph Henneberry allows following entities to bill medicare on his behalf.
Entity NameDirect Radiology Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144572173
PECOS PAC ID: 9436396165
Enrollment ID: O20130805000156
Entity NameOroville Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710372909
PECOS PAC ID: 1254234339
Enrollment ID: O20160411002032
Entity NameRadiology Alliance Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861478489
PECOS PAC ID: 1850280470
Enrollment ID: O20160822002542
Entity NameRadiology Group Of Abington Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477541035
PECOS PAC ID: 5991780892
Enrollment ID: O20170925003061
Entity NameEnloe Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477975613
PECOS PAC ID: 9739092388
Enrollment ID: O20180925003908
Entity NameJason L Hwang Md Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811486616
PECOS PAC ID: 6103171012
Enrollment ID: O20181130002453
Entity NameSimi Radiology And Imaging Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730132275
PECOS PAC ID: 6507845369
Enrollment ID: O20181210003069
Entity NameAcadiana Radiology Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649422726
PECOS PAC ID: 1355403114
Enrollment ID: O20190516001788
Entity NameRadiology Consultants Of Lynchburg Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922037043
PECOS PAC ID: 8022077205
Enrollment ID: O20190618001028
Entity NameHouston County Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851642540
PECOS PAC ID: 2668636036
Enrollment ID: O20190711002204
Entity NameColumbus Radiology Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467964718
PECOS PAC ID: 3971863416
Enrollment ID: O20190819001958
Entity NameCumberland Imaging Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437279262
PECOS PAC ID: 4284735051
Enrollment ID: O20200115001017
Entity NameTennessee Valley Radiology Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356367551
PECOS PAC ID: 9133105521
Enrollment ID: O20200424001776

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. Kyle Joseph Henneberry 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
Kyle Joseph Henneberry, MD
22100 Bothell Everett Hwy,
Bothell, WA 98021-8431

Ph: (208) 416-2932		Kyle Joseph Henneberry, MD
16040 Ne 153rd St,
Woodinville, WA 98072-8903

Ph: (208) 416-2932

Reviews and Comments


Radiology Doctors in Woodinville, WA


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.