Patricia W Henderson, DO is a medicare enrolled "Family Medicine" physician in Low Moor, Virginia. Her current practice location is
Partricia W Henderson Do Pc, 1 Arh Lane, Ste. 800, Low Moor, Virginia. You can reach out to her office (for appointments etc.) via phone at
(540) 862-6750.
Patricia W Henderson is licensed to practice in Virginia (license number 0102037111) 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 1316942451.
Physician's Profile
| Full Name | Patricia W Henderson |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | Partricia W Henderson Do Pc, Low Moor, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1316942451
- Provider Enumeration Date: 06/16/2005
- Last Update Date: 08/12/2008
Medicare PECOS Information:
- PECOS PAC ID: 3375631716
- Enrollment ID: I20080710000246
Medical Identifiers
Medical identifiers for Patricia W Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316942451 | NPI | - | NPPES |
| 0053573000 | Medicaid | WV | |
| 260538432 | Other | | TRICARE |
| 1316942451 | Medicaid | VA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 0102037111 (Virginia) | 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. Patricia W Henderson allows following entities to bill medicare on her behalf.
| Entity Name | Patricia W Henderson Do Pc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508059429
PECOS PAC ID: 9537231345
Enrollment ID: O20080710000207 |
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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. Patricia W 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 |
|---|
Patricia W Henderson, DO
Po Box 629,
Clifton Forge, VA 24422-0629
Ph: (540) 862-6659 | Patricia W Henderson, DO
Partricia W Henderson Do Pc, 1 Arh Lane, Ste. 800,
Low Moor, VA 24457
Ph: (540) 862-6750 |
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