Ms Lauren I Henderson, MD is a medicare enrolled "Dermatology" physician in Austell, Georgia. Her current practice location is
1550 Mulkey Rd, Austell, Georgia. You can reach out to her office (for appointments etc.) via phone at
(707) 321-1377.
Ms Lauren I Henderson is licensed to practice in Georgia (license number 86208) 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 1669817011.
Physician's Profile
Full Name | Ms Lauren I Henderson |
---|
Gender | Female |
---|
Speciality | Dermatology |
---|
Location | 1550 Mulkey Rd, Austell, Georgia |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1669817011
- Provider Enumeration Date: 04/29/2013
- Last Update Date: 10/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 1254631609
- Enrollment ID: I20230804002067
Medical Identifiers
Medical identifiers for Ms Lauren I Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669817011 | NPI | - | NPPES |
003244191G | Medicaid | GA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | A148084 (California) | Secondary |
207N00000X | Dermatology | 86208 (Georgia) | 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. Ms Lauren I Henderson allows following entities to bill medicare on her behalf.
Entity Name | Atlanta West Deramtology, P.c. |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1174680979 PECOS PAC ID: 9638135692 Enrollment ID: O20041202000177 |
---|
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. Ms Lauren I 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 |
Ms Lauren I Henderson, MD 1550 Mulkey Rd, Austell, GA 30106-1112 Ph: (770) 732-1137 | Ms Lauren I Henderson, MD 1550 Mulkey Rd, Austell, GA 30106-1112 Ph: (707) 321-1377 |
Reviews and Comments