Kathleen Henderson, MSN, CRNP in Philadelphia, PA

Kathleen Henderson, MSN, CRNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Philadelphia, Pennsylvania. She graduated from nursing school in 1995 and has 29 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Temple Faculty Practice Plan Inc and her current practice location is 333 Cottman Ave, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 707-3677.

Kathleen Henderson is licensed to practice in Pennsylvania (license number VP004751X) 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 1477759264.

Contact Information

	Kathleen Henderson, MSN, CRNP
	333 Cottman Ave, Philadelphia, PA 19111-2434
	(215) 707-3677
	Not Available

Map and Direction

Provider's Profile

Full Name	Kathleen Henderson
Gender	Female
Speciality	Nurse Practitioner
Experience	29 Years
Location	333 Cottman Ave, Philadelphia, Pennsylvania
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:

Kathleen Henderson graduated from nursing school in 1995

NPI Data:

NPI Number: 1477759264
Provider Enumeration Date: 06/27/2007
Last Update Date: 04/30/2018

Medicare PECOS Information:

PECOS PAC ID: 5991892192
Enrollment ID: I20071106000026

Medical Identifiers

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

Identifier	Type	State	Issuer
1477759264	NPI	-	NPPES
1022773590001	Medicaid	PA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	VP004751X (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Temple University Hospital	Philadelphia, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Temple Faculty Practice Plan Inc	0345588711	1060

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. Kathleen Henderson allows following entities to bill medicare on her behalf.

Entity Name	Fox Chase Cancer Center Medical Group, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396019444 PECOS PAC ID: 8123289550 Enrollment ID: O20120412000054

Entity Name	Temple Faculty Practice Plan Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881176949 PECOS PAC ID: 0345588711 Enrollment ID: O20190208002623

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. Kathleen 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
Kathleen Henderson, MSN, CRNP 2450 W Hunting Park Ave, Philadelphia, PA 19129-1302 Ph: (215) 453-3300	Kathleen Henderson, MSN, CRNP 333 Cottman Ave, Philadelphia, PA 19111-2434 Ph: (215) 707-3677

Reviews and Comments

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Kathleen Henderson, MSN, CRNP - Medicare Nurse Practitioner in Philadelphia, PA