Jane Henderson, in Mansfield, OH - Medicare Nurse Practitioner

Jane Henderson, is a medicare enrolled "Nurse Practitioner - Pediatrics" in Mansfield, Ohio. Her current practice location is 540 S Trimble Rd, Mansfield, Ohio. You can reach out to her office (for appointments etc.) via phone at (419) 522-5454.

Jane Henderson is licensed to practice in Ohio (license number APRN.CNP.022335) 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 1093204323.

Contact Information

	Jane Henderson,
	540 S Trimble Rd, Mansfield, OH 44906-3418
	(419) 522-5454
	Not Available

Map and Direction

Provider's Profile

Full Name	Jane Henderson
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	540 S Trimble Rd, Mansfield, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093204323
Provider Enumeration Date: 05/02/2018
Last Update Date: 05/22/2024

Medicare PECOS Information:

PECOS PAC ID: 5890105357
Enrollment ID: I20201112000464

Medical Identifiers

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

Identifier	Type	State	Issuer
1093204323	NPI	-	NPPES
0303757	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APRN.CNP.022335 (Ohio)	Secondary
363LP0200X	Nurse Practitioner - Pediatrics	APRN.CNP.022335 (Ohio)	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. Jane Henderson allows following entities to bill medicare on her behalf.

Entity Name	Pediatric Academic Association, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063419943 PECOS PAC ID: 2961306774 Enrollment ID: O20031124000198

Entity Name	Childrens Community Practices Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386031896 PECOS PAC ID: 5092047084 Enrollment ID: O20191023003502

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. Jane 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
Jane Henderson, 2139 Random Dr, Mansfield, OH 44904-1689 Ph: () -	Jane Henderson, 540 S Trimble Rd, Mansfield, OH 44906-3418 Ph: (419) 522-5454

Reviews and Comments

Nurse Practitioner Nurses in Mansfield, OH

Amanda Nicole Lilly, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 W 3rd St, Mansfield, OH 44906 Phone: 419-522-6191 Fax: 419-525-6723
Brianna Cassidy, APRN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 W 3rd St, Mansfield, OH 44906 Phone: 419-522-6191
Laura Mae Blanton, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1221 S Trimble Rd, Mansfield, OH 44907 Phone: 419-951-2020
Denise Lynn Berger, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2615 Springmill West Rd, Mansfield, OH 44903 Phone: 419-560-8141
Mrs. Angela Lynn Granson, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 70 Madison Rd, Mansfield, OH 44905 Phone: 419-589-9700 Fax: 419-589-2731
Shannon Arlene Trzcinski, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 661 S Trimble Rd, Mansfield, OH 44906 Phone: 419-774-0478 Fax: 419-774-9887
Jesse W Glass, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1150 N Main St, Mansfield, OH 44903 Phone: 740-361-9355

Jane Henderson, - Medicare Nurse Practitioner in Mansfield, OH