Latrika Henderson- Henderson, NP in Birmingham, AL

Latrika Henderson- Henderson, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Birmingham, Alabama. Her current practice location is 5720 1st Ave S, Birmingham, Alabama. You can reach out to her office (for appointments etc.) via phone at (205) 380-9455.

Latrika Henderson- Henderson is licensed to practice in Alabama (license number 1122734) 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 1356075642.

Contact Information

	Latrika Henderson- Henderson, NP
	5720 1st Ave S, Birmingham, AL 35212-2522
	(205) 380-9455
	Not Available

Map and Direction

Provider's Profile

Full Name	Latrika Henderson- Henderson
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	5720 1st Ave S, Birmingham, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356075642
Provider Enumeration Date: 07/12/2022
Last Update Date: 07/12/2022

Medicare PECOS Information:

PECOS PAC ID: 0244601847
Enrollment ID: I20230118001757

Medical Identifiers

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

Identifier	Type	State	Issuer
1356075642	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	1122734 (Alabama)	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. Latrika Henderson- Henderson allows following entities to bill medicare on her behalf.

Entity Name	Wellstone, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407809213 PECOS PAC ID: 9739070046 Enrollment ID: O20040324000453

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. Latrika Henderson- 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
Latrika Henderson- Henderson, NP 2333 Old Montgomery Rd, Selma, AL 36703-7760 Ph: (334) 303-7897	Latrika Henderson- Henderson, NP 5720 1st Ave S, Birmingham, AL 35212-2522 Ph: (205) 380-9455

Reviews and Comments

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Latrika Henderson- Henderson, NP - Medicare Nurse Practitioner in Birmingham, AL