Mrs Jessica Henderson, NP-C | |
2300 Manchester Expy, Ste 2001, Columbus, GA 31904-6877 | |
(706) 323-5552 | |
(706) 324-5695 |
Full Name | Mrs Jessica Henderson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 2300 Manchester Expy, Columbus, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790194314 | NPI | - | NPPES |
003163038A | Medicaid | GA | |
174933 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 1-129486 (Alabama) | Secondary |
363LF0000X | Nurse Practitioner - Family | RN246307 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
East Alabama Medical Center And Snf | Opelika, AL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hospice Advantage Midco Llc | 6608020334 | 8 |
Entity Name | Hospice Advantage Midco Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093238248 PECOS PAC ID: 6608020334 Enrollment ID: O20171113003047 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jessica Henderson, NP-C Po Box 9006, Columbus, GA 31908-9006 Ph: (706) 323-5552 | Mrs Jessica Henderson, NP-C 2300 Manchester Expy, Ste 2001, Columbus, GA 31904-6877 Ph: (706) 323-5552 |
Resa A Lord, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 705 17th St, Suite 107, Columbus, GA 31901 Phone: 706-571-1665 Fax: 706-660-2699 | |
Courtni Schaaf, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2000 10th Ave Ste 370, Columbus, GA 31901 Phone: 706-660-2562 Fax: 706-660-2580 | |
Ms. April Allen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4343 Warm Springs Rd Apt 2104, Columbus, GA 31909 Phone: 706-536-4775 | |
Brandi Michelle Richards, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6600 Whittlesey Blvd Ste A, Columbus, GA 31909 Phone: 706-321-0476 | |
Susan Carol Wieczorek, NP-C, CWOCN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 808 21st St, Columbus, GA 31904 Phone: 706-321-3901 Fax: 706-321-3904 | |
Mrs. Ann Marie Blair, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 610 19th St, Columbus, GA 31901 Phone: 706-322-7884 | |
Mrs. Crystal Berry, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 611 Brown Ave, Columbus, GA 31906 Phone: 678-729-7973 |