Tracy Hamblin Henderson, MD - Medicare Sports Medicine in Willow Park, TX

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Tracy Hamblin Henderson, MD is a medicare enrolled "Family Medicine - Sports Medicine" physician in Willow Park, Texas. She went to University Of Utah School Of Medicine and graduated in 2010 and has 14 years of diverse experience with area of expertise as Sports Medicine. She is a member of the group practice Texas Health Care Pllc and her current practice location is 110 Mary Lou Drive, Suite 100, Willow Park, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 930-2030.

Tracy Hamblin Henderson is licensed to practice in Texas (license number T8117) 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 1073839817.

Contact Information

Tracy Hamblin Henderson, MD
110 Mary Lou Drive, Suite 100,
Willow Park, TX 76087
(817) 930-2030
Not Available

Map and Direction




Physician's Profile

Full NameTracy Hamblin Henderson
GenderFemale
SpecialitySports Medicine
Experience14 Years
Location110 Mary Lou Drive, Willow Park, Texas
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:
  • Tracy Hamblin Henderson attended and graduated from University Of Utah School Of Medicine in 2010
  NPI Data:
  • NPI Number: 1073839817
  • Provider Enumeration Date: 04/19/2010
  • Last Update Date: 01/10/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8022237676
  • Enrollment ID: I20230706000199

Medical Identifiers

Medical identifiers for Tracy Hamblin Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073839817NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RS0010XInternal Medicine - Sports Medicine T8117 (Texas)Secondary
207XX0005XOrthopaedic Surgery - Sports Medicine MD60450293 (Washington)Secondary
2081S0010XPhysical Medicine & Rehabilitation - Sports Medicine T8117 (Texas)Secondary
207QS0010XFamily Medicine - Sports Medicine T8117 (Texas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Texas Health Care Pllc7214840867326

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. Tracy Hamblin Henderson allows following entities to bill medicare on her behalf.
Entity NameTexas Health Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477628873
PECOS PAC ID: 7214840867
Enrollment ID: O20031110000388
Entity NameNorth Star Mcd, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063712461
PECOS PAC ID: 2668659434
Enrollment ID: O20110602000702

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. Tracy Hamblin 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
Tracy Hamblin Henderson, MD
110 Mary Lou Dr Ste 100,
Willow Park, TX 76087-8767

Ph: (817) 930-2030		Tracy Hamblin Henderson, MD
110 Mary Lou Drive, Suite 100,
Willow Park, TX 76087

Ph: (817) 930-2030

Reviews and Comments


Family Medicine Doctors in Willow Park, TX

Dr. Johnny M Wilson, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 136 El Chico Trl, Suite 103, Willow Park, TX 76087
Phone: 817-441-1441    Fax: 817-441-1443
Ms. Fiona Giretta Atitso, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 101 Crown Pointe Blvd Ste 200, Willow Park, TX 76087
Phone: 817-599-7661    Fax: 817-599-8408
Marina Coulter, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 101 Crown Pointe Blvd Ste 200, Willow Park, TX 76087
Phone: 817-599-7661    Fax: 817-599-8408
Jeremy Chad Everett, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 101 Crown Pointe Blvd Ste 220, Willow Park, TX 76087
Phone: 817-757-1678    Fax: 817-757-1679
Agna Elizabeth Bailey, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 101 Crown Pointe Blvd Ste 200, Willow Park, TX 76087
Phone: 817-599-7661    Fax: 817-599-8408
Jessica Danielle Williams, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5700 E Interstate 20 Service Rd S, Ste 100, Willow Park, TX 76008
Phone: 817-489-7300    Fax: 817-489-7302

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.