Wesley Scott Henricksen, in Longview, WA

Wesley Scott Henricksen, is a medicare enrolled "Pediatrics" physician in Longview, Washington. His current practice location is 971 11th Ave, Longview, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 577-1771.

Wesley Scott Henricksen is licensed to practice in Washington (license number MD60477315) 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 1801195375.

Contact Information

	Wesley Scott Henricksen,
	971 11th Ave, Longview, WA 98632-2503
	(360) 577-1771
	(360) 423-1405

Map and Direction

Physician's Profile

Full Name	Wesley Scott Henricksen
Gender	Male
Speciality	Pediatrics
Location	971 11th Ave, Longview, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801195375
Provider Enumeration Date: 03/22/2011
Last Update Date: 03/09/2017

Medicare PECOS Information:

PECOS PAC ID: 2062761786
Enrollment ID: I20180814001747

Medical Identifiers

Medical identifiers for Wesley Scott Henricksen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801195375	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	MD60477315 (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. Wesley Scott Henricksen allows following entities to bill medicare on his behalf.

Entity Name	Child & Adolescent Clinic Ps
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144275777 PECOS PAC ID: 2365791084 Enrollment ID: O20180814000961

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. Wesley Scott Henricksen 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
Wesley Scott Henricksen, 971 11th Ave, Longview, WA 98632-2503 Ph: (360) 577-1771	Wesley Scott Henricksen, 971 11th Ave, Longview, WA 98632-2503 Ph: (360) 577-1771

Reviews and Comments

Pediatrics Doctors in Longview, WA

Daryl William Linnell, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 784 14th Ave, Longview, WA 98632 Phone: 360-425-6111 Fax: 360-636-1297
Pamela M Roberts, ARNP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 971 11th Ave, Longview, WA 98632 Phone: 360-577-1771 Fax: 360-423-1405
Annette Pearl Ville, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 971 11th Ave, Longview, WA 98632 Phone: 360-423-6140
Dr. John Leigh Ey, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 971 11th Ave, Longview, WA 98632 Phone: 360-423-6140 Fax: 360-423-1405
Mary Jane Hall, ARNP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 971 11th Ave, Longview, WA 98632 Phone: 360-577-1771 Fax: 360-423-1405
Dr. Kenneth R Wu, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 971 11th Ave, Longview, WA 98632 Phone: 360-423-6140 Fax: 360-423-1405
Dr. Jennifer Louise Saxer, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 784 14th Ave, Longview, WA 98632 Phone: 360-425-6111 Fax: 360-636-1297

Wesley Scott Henricksen, - Medicare Pediatrics in Longview, WA