Brandy N Henson, NP is a medicare enrolled "Pediatrics" in Longview, Texas. Her current practice location is
818 N 4th St, Longview, Texas. You can reach out to her office (for appointments etc.) via phone at
(903) 236-8600.
Brandy N Henson is licensed to practice in Washington (license number AP60724707) 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 1316318157.
Provider's Profile
| Full Name | Brandy N Henson |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 818 N 4th St, Longview, Texas |
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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: 1316318157
- Provider Enumeration Date: 10/19/2015
- Last Update Date: 10/20/2021
Medicare PECOS Information:
- PECOS PAC ID: 2264725068
- Enrollment ID: I20240717003937
Medical Identifiers
Medical identifiers for Brandy N Henson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316318157 | NPI | - | NPPES |
| 2074713 | Medicaid | WA | |
| 214655758 | Medicaid | AR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LP0222X | Nurse Practitioner - Pediatrics, Critical Care | AP60724707 (Washington) | Secondary |
| 208000000X | Pediatrics | AP60724707 (Washington) | Primary |
| 363LP0200X | Nurse Practitioner - Pediatrics | AP60724707 (Washington) | Secondary |
| 208000000X | Pediatrics | AP129290 (Texas) | Secondary |
| 363L00000X | Nurse Practitioner | AP60724707 (Washington) | Secondary |
| 363LN0000X | Nurse Practitioner - Neonatal | AP60724707 (Washington) | Secondary |
| 363LN0005X | Nurse Practitioner - Neonatal, Critical Care | AP60724707 (Washington) | 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. Brandy N Henson allows following entities to bill medicare on her behalf.
| Entity Name | Mt Enterprise Community Health Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649412354
PECOS PAC ID: 2860303922
Enrollment ID: O20110801000150 |
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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. Brandy N Henson 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 |
|---|
Brandy N Henson, NP
818 N 4th St,
Longview, TX 75601
Ph: (509) 942-3627 | Brandy N Henson, NP
818 N 4th St,
Longview, TX 75601
Ph: (903) 236-8600 |
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