Holly Jo Henderson, MPT - Medicare Nurse Practitioner in Golden, IL

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Holly Jo Henderson, MPT is a medicare enrolled "Nurse Practitioner - Family" in Golden, Illinois. She went to Southern Illinois University School Of Medicine and graduated in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Blessing Hospital and her current practice location is 102 Prairie Mills Rd, Golden, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 696-4446.

Holly Jo Henderson is licensed to practice in Illinois (license number 209020158) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1710034954.

Contact Information

Holly Jo Henderson, MPT
102 Prairie Mills Rd,
Golden, IL 62339-1055
(217) 696-4446
Not Available

Map and Direction




Provider's Profile

Full NameHolly Jo Henderson
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location102 Prairie Mills Rd, Golden, Illinois
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Holly Jo Henderson attended and graduated from Southern Illinois University School Of Medicine in 2019
  NPI Data:
  • NPI Number: 1710034954
  • Provider Enumeration Date: 01/03/2007
  • Last Update Date: 01/31/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5496991457
  • Enrollment ID: I20201030000880

Medical Identifiers

Medical identifiers for Holly Jo Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710034954NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209020158 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Blessing HospitalQuincy, ILHospital
Hannibal Regional HospitalHannibal, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Blessing Hospital3072422534349

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. Holly Jo Henderson allows following entities to bill medicare on her behalf.
Entity NameBlessing Corporate Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720186265
PECOS PAC ID: 5991616138
Enrollment ID: O20040116000382
Entity NameBlessing Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255515342
PECOS PAC ID: 3072422534
Enrollment ID: O20040330001155
Entity NameBlessing Corporate Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851311641
PECOS PAC ID: 5991616138
Enrollment ID: O20050222000479
Entity NameBlessingcare Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992038640
PECOS PAC ID: 2769420959
Enrollment ID: O20050419000684
Entity NameBlessing Hospital
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1114471737
PECOS PAC ID: 3072422534
Enrollment ID: O20161005001836

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. Holly Jo 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
Holly Jo Henderson, MPT
183 Saturn Dr,
Hannibal, MO 63401-2398

Ph: (573) 795-0849		Holly Jo Henderson, MPT
102 Prairie Mills Rd,
Golden, IL 62339-1055

Ph: (217) 696-4446

Reviews and Comments


Nurse Practitioner Nurses in Golden, IL

Bradley D Beswick, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 102 Prairie Mills Rd, Golden, IL 62339
Phone: 217-696-4446    Fax: 217-696-4452
Patricia Ann Steffen, CNP
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 102 Prairie Mills Rd, Golden, IL 62339
Phone: 217-696-4446    

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.