Caron Gibson Henderson, ANP in Leakesville, MS

Caron Gibson Henderson, ANP is a medicare enrolled "Nurse Practitioner - Adult Health" in Leakesville, Mississippi. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Wcs Professional Services Of Mississippi, Llc and her current practice location is 1616 Williams Dr, Leakesville, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 394-2381.

Caron Gibson Henderson is licensed to practice in Mississippi (license number R873868) 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 1316253115.

Contact Information

	Caron Gibson Henderson, ANP
	1616 Williams Dr, Leakesville, MS 39451-5622
	(601) 394-2381
	(601) 394-5715

Map and Direction

Provider's Profile

Full Name	Caron Gibson Henderson
Gender	Female
Speciality	Nurse Practitioner
Experience	14 Years
Location	1616 Williams Dr, Leakesville, Mississippi
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Caron Gibson Henderson graduated from nursing school in 2010

NPI Data:

NPI Number: 1316253115
Provider Enumeration Date: 08/31/2010
Last Update Date: 03/29/2014

Medicare PECOS Information:

PECOS PAC ID: 2466612825
Enrollment ID: I20120322000576

Medical Identifiers

Medical identifiers for Caron Gibson Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316253115	NPI	-	NPPES
09228250	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	R873868 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Baptist Medical Center-leake	Carthage, MS	Hospital
H C Watkins Memorial Hospital Inc	Quitman, MS	Hospital
John C Stennis Memorial Hospital	De kalb, MS	Hospital
Lawrence County Hospital Cah	Monticello, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wcs Professional Services Of Mississippi, Llc	3476790502	3

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. Caron Gibson Henderson allows following entities to bill medicare on her behalf.

Entity Name	Outreach Health Services,inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548359565 PECOS PAC ID: 1951386911 Enrollment ID: O20040623000333

Entity Name	Fgh Trauma Surgery Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427090398 PECOS PAC ID: 7517916331 Enrollment ID: O20050119000801

Entity Name	Pioneer Health Care , Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336384742 PECOS PAC ID: 4789740044 Enrollment ID: O20090311000659

Entity Name	Wcs Professional Services Of Mississippi, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265785455 PECOS PAC ID: 3476790502 Enrollment ID: O20130509000499

Entity Name	Restorixhealth At-home Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255974689 PECOS PAC ID: 8123455011 Enrollment ID: O20200519001619

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. Caron Gibson 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
Caron Gibson Henderson, ANP Po Box 160, Leakesville, MS 39451-0160 Ph: (601) 394-2381	Caron Gibson Henderson, ANP 1616 Williams Dr, Leakesville, MS 39451-5622 Ph: (601) 394-2381

Reviews and Comments

Nurse Practitioner Nurses in Leakesville, MS

Mr. Eric Ashley Mccraney, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1017 Jackson Ave, Leakesville, MS 39451 Phone: 601-947-1330 Fax: 601-947-1331
Danielle Eubanks, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1616 Williams Dr, Leakesville, MS 39451 Phone: 601-394-2381
Wesley Donovan Freeman, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 951 Main St, Leakesville, MS 39451 Phone: 601-394-2381 Fax: 601-394-2593
Mrs. Kendall Shea Thornton, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1616 Williams Dr, Leakesville, MS 39451 Phone: 601-394-2381 Fax: 601-394-2593
Cynthia Winette Denmark, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 320 Main St, Leakesville, MS 39451 Phone: 601-791-7001 Fax: 601-791-7016
Mrs. Amy Malinda Lott, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1616 Williams Dr, Leakesville, MS 39451 Phone: 601-394-2381 Fax: 601-394-2593

Caron Gibson Henderson, ANP - Medicare Nurse Practitioner in Leakesville, MS