Miyagi Henderson, in Slidell, LA - Medicare Nurse Practitioner

Miyagi Henderson, is a medicare enrolled "Nurse Practitioner - Family" in Slidell, Louisiana. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice E. M. Dimitri, D.o. Pmc., E. M. Dimitri, D.o. Pmc. and her current practice location is 2104 Gause Blvd W, Ste A, Slidell, Louisiana. You can reach out to her office (for appointments etc.) via phone at (504) 229-7454.

Miyagi Henderson is licensed to practice in Louisiana (license number AP215714) 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 1588293518.

Contact Information

	Miyagi Henderson,
	2104 Gause Blvd W, Ste A, Slidell, LA 70460-4130
	(504) 229-7454
	Not Available

Map and Direction

Provider's Profile

Full Name	Miyagi Henderson
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	2104 Gause Blvd W, Slidell, Louisiana
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:

Miyagi Henderson graduated from nursing school in 2020

NPI Data:

NPI Number: 1588293518
Provider Enumeration Date: 04/02/2020
Last Update Date: 12/06/2023

Medicare PECOS Information:

PECOS PAC ID: 3274944582
Enrollment ID: I20201117002576

Medical Identifiers

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

Identifier	Type	State	Issuer
1588293518	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP215714 (Louisiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ochsner Medical Center-hancock	Bay saint louis, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
E. M. Dimitri, D.o. Pmc.	4284722059	16
E. M. Dimitri, D.o. Pmc.	4284722059	16

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

Entity Name	E. M. Dimitri, D.o. Pmc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821285974 PECOS PAC ID: 4284722059 Enrollment ID: O20071116000378

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. Miyagi 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
Miyagi Henderson, Po Box 7020, Slidell, LA 70469-7020 Ph: (985) 643-4575	Miyagi Henderson, 2104 Gause Blvd W, Ste A, Slidell, LA 70460-4130 Ph: (504) 229-7454

Reviews and Comments

Nurse Practitioner Nurses in Slidell, LA

Richard Todd Cooper, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 Gause Blvd, Slidell, LA 70458 Phone: 985-643-2200
Ms. Jaime Rebecca Loebner, MSN, FPMHNP-BC, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 113 Christian Ln, Slidell, LA 70458 Phone: 985-781-7353
Laura Janette Pichon, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 Gause Blvd, Slidell, LA 70458 Phone: 985-280-8743
Ms. Holly Lorraine Solnick, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1340 Gause Blvd., W, Slidell, LA 70460 Phone: 985-781-7577 Fax: 985-781-7579
Mrs. Jeanne Bienvenu Dakin, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Medical Center Dr, Slidell, LA 70461 Phone: 985-646-5488 Fax: 985-646-5720
Jaune Thomas, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1570 Lindberg Dr, Slidell, LA 70458 Phone: 985-643-5242
Kira Gilmore Smith, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Pelican Urgent Care, 2375 Gause Blvd. East, Slidell, LA 70461 Phone: 985-645-9000

Miyagi Henderson, - Medicare Nurse Practitioner in Slidell, LA