Kathleen Henry, PA in San Jose, CA - Medicare Physician Assistant

Kathleen Henry, PA is a medicare enrolled "Physician Assistant" in San Jose, California. Her current practice location is 2880 Story Rd, Suite 10, San Jose, California. You can reach out to her office (for appointments etc.) via phone at (408) 729-9700.

Kathleen Henry is licensed to practice in California (license number PA14665) 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 1205963162.

Contact Information

	Kathleen Henry, PA
	2880 Story Rd, Suite 10, San Jose, CA 95127-3942
	(408) 729-9700
	Not Available

Map and Direction

Provider's Profile

Full Name	Kathleen Henry
Gender	Female
Speciality	Physician Assistant
Location	2880 Story Rd, San Jose, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205963162
Provider Enumeration Date: 02/27/2007
Last Update Date: 10/06/2015

Medicare PECOS Information:

PECOS PAC ID: 3173572476
Enrollment ID: I20050113000420

Medical Identifiers

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

Identifier	Type	State	Issuer
1205963162	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA14665 (California)	Primary

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 Henry 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 Henry, PA 2880 Story Rd, San Jose, CA 95127-3942 Ph: (408) 729-9700	Kathleen Henry, PA 2880 Story Rd, Suite 10, San Jose, CA 95127-3942 Ph: (408) 729-9700

Reviews and Comments

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Kathleen Henry, PA - Medicare Physician Assistant in San Jose, CA