Kelly G Henderson, PA - Medicare Physician Assistant in Overland Park, KS

Kelly G Henderson, PA is a medicare enrolled "Physician Assistant" in Overland Park, Kansas. She graduated from nursing school in 2000 and has 24 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Overland Park Surgical Specialties Llc and her current practice location is 11725 W 112th St, Overland Park, Kansas. You can reach out to her office (for appointments etc.) via phone at (913) 469-5579.

Kelly G Henderson is licensed to practice in Kansas (license number 15-00672) 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 1154337517.

Contact Information

Kelly G Henderson, PA
11725 W 112th St,
Overland Park, KS 66210-2761
(913) 469-5579
(913) 338-1311

Map and Direction




Provider's Profile

Full NameKelly G Henderson
GenderFemale
SpecialityPhysician Assistant
Experience24 Years
Location11725 W 112th St, Overland Park, Kansas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelly G Henderson graduated from nursing school in 2000
  NPI Data:
  • NPI Number: 1154337517
  • Provider Enumeration Date: 07/31/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 7810181609
  • Enrollment ID: I20101105000617

Medical Identifiers

Medical identifiers for Kelly G Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154337517NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 15-00672 (Kansas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Overland Park Surgical Specialties Llc9234318502105

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. Kelly G 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
Kelly G Henderson, PA
11755 W 112th St, Suite 203,
Overland Park, KS 66210-2761

Ph: (913) 469-0503
Kelly G Henderson, PA
11725 W 112th St,
Overland Park, KS 66210-2761

Ph: (913) 469-5579

Reviews and Comments


Physician Assistant Nurses in Overland Park, KS

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Mr. Andrew Zachary Dale, PA-C
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Practice Location: 10701 Nall Ave Ste 200, Overland Park, KS 66211
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Vicki A Levi, PA
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Susan M Scheffler, P.A.
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Medicare: Medicare Enrolled
Practice Location: 10701 Nall Ave, Suite 200, Overland Park, KS 66211
Phone: 913-381-5225    Fax: 913-901-0186
Chynna Rose Burton, PA-C
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Medicare: Not Enrolled in Medicare
Practice Location: 5100 W 110th St Ste 200, Overland Park, KS 66211
Phone: 913-934-4300    

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.