Kettelie Henry, ARNP in Hollywood, FL - Medicare Nurse Practitioner

Kettelie Henry, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Hollywood, Florida. Her current practice location is 3800 S Ocean Dr Ste 209, Hollywood, Florida. You can reach out to her office (for appointments etc.) via phone at (877) 226-8874.

Kettelie Henry is licensed to practice in Florida (license number APRN11002547) 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 1013576511.

Contact Information

	Kettelie Henry, ARNP
	3800 S Ocean Dr Ste 209, Hollywood, FL 33019-2915
	(877) 226-8874
	(877) 366-4776

Map and Direction

Provider's Profile

Full Name	Kettelie Henry
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3800 S Ocean Dr Ste 209, Hollywood, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013576511
Provider Enumeration Date: 06/07/2019
Last Update Date: 06/23/2020

Medicare PECOS Information:

PECOS PAC ID: 9931522893
Enrollment ID: I20200713003012

Medical Identifiers

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

Identifier	Type	State	Issuer
1013576511	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APRN11002547 (Florida)	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. Kettelie Henry allows following entities to bill medicare on her behalf.

Entity Name	Harbor Palliative Care Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710283015 PECOS PAC ID: 3476738527 Enrollment ID: O20110504000801

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. Kettelie 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
Kettelie Henry, ARNP 3800 S Ocean Dr Ste 209, Hollywood, FL 33019-2915 Ph: (800) 226-8874	Kettelie Henry, ARNP 3800 S Ocean Dr Ste 209, Hollywood, FL 33019-2915 Ph: (877) 226-8874

Reviews and Comments

Nurse Practitioner Nurses in Hollywood, FL

Fiorella Jahaira Saka, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1150 N 35th Ave, Suite 590, Hollywood, FL 33021 Phone: 954-265-9500 Fax: 954-265-1431
Bella Gleiser Mendez, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1150 N 35th Ave Ste 385, Hollywood, FL 33021 Phone: 954-265-4325
Andrea Annmarie Goulbourne-smith, APRN, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7369 Sheridan St Ste 101, Hollywood, FL 33024 Phone: 954-561-6222 Fax: 954-990-7650
Roberto Santamaria, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1957 Jackson St, Hollywood, FL 33020 Phone: 954-921-2600
Jennifer Aphrodite Germain, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1920 N 53rd Ave, Hollywood, FL 33021 Phone: 305-450-8698
Linda C Barreras, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 750 S Federal Hwy, Hollywood, FL 33020 Phone: 954-342-8800 Fax: 954-342-8700
Mrs. Christine M Browne, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 S Park Rd Ste 200, Hollywood, FL 33021 Phone: 954-923-7440 Fax: 954-923-1299

Kettelie Henry, ARNP - Medicare Nurse Practitioner in Hollywood, FL