Michelle Reina Bosley Henderson, MD in Salt Lake City, UT

Michelle Reina Bosley Henderson, MD is a medicare enrolled "Pediatrics - Pediatric Critical Care Medicine" physician in Salt Lake City, Utah. Her current practice location is 2000 S 900 E, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 464-7800.

Michelle Reina Bosley Henderson is licensed to practice in Utah (license number 8303357-1205) 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 1841427978.

Contact Information

	Michelle Reina Bosley Henderson, MD
	2000 S 900 E, Salt Lake City, UT 84105-3208
	(801) 464-7800
	Not Available

Map and Direction

Physician's Profile

Full Name	Michelle Reina Bosley Henderson
Gender	Female
Speciality	Pediatrics - Pediatric Critical Care Medicine
Location	2000 S 900 E, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841427978
Provider Enumeration Date: 06/16/2009
Last Update Date: 01/30/2024

Medicare PECOS Information:

PECOS PAC ID: 3173746815
Enrollment ID: I20180525001975

Medical Identifiers

Medical identifiers for Michelle Reina Bosley Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841427978	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	8303357-1205 (Utah)	Secondary
2080P0203X	Pediatrics - Pediatric Critical Care Medicine	DR.0056489 (Colorado)	Secondary
2080P0203X	Pediatrics - Pediatric Critical Care Medicine	8303357-1205 (Utah)	Primary
208000000X	Pediatrics	BP10035444 (Texas)	Secondary

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. Michelle Reina Bosley Henderson allows following entities to bill medicare on her behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303

Entity Name	University Of Utah Pediatric Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487018974 PECOS PAC ID: 0547552473 Enrollment ID: O20160713000371

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. Michelle Reina Bosley 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
Michelle Reina Bosley Henderson, MD 1055 S 1200 E, Salt Lake City, UT 84105-1524 Ph: (512) 705-6161	Michelle Reina Bosley Henderson, MD 2000 S 900 E, Salt Lake City, UT 84105-3208 Ph: (801) 464-7800

Reviews and Comments

Pediatrics Doctors in Salt Lake City, UT

Kristina Mckinley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: University Of Utah Hospital, 30 North 1900 East, Rm 1c412, Salt Lake City, UT 84132 Phone: 801-581-2401
Dr. Zainab Kagen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 295 S Chipeta Way Ste 14, Salt Lake City, UT 84108 Phone: 801-585-6943
Kaitlin Carpenter, Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-1000
Dr. Thomas Patrick Curtin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 81 N Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-5700
Anastasiya Mankouski, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5121 S Cottonwood St, Salt Lake City, UT 84107 Phone: 801-507-7000
Joslynn Marie Hoburg, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 295 S Chipeta Way Rm 2s010, Salt Lake City, UT 84108 Phone: 801-581-2121
George W Delavan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 44 N Mario Capecchi Dr, Salt Lake City, UT 84132 Phone: 801-584-8239 Fax: 801-584-8588

Michelle Reina Bosley Henderson, MD - Medicare Pediatrics in Salt Lake City, UT