Mrs Lynn Ellen Henderson, ANP is a medicare enrolled "Family Medicine - Adult Medicine" in Austin, Texas. Her current practice location is
Po Box 13492, Austin, Texas. You can reach out to her office (for appointments etc.) via phone at
(415) 644-5051.
Mrs Lynn Ellen Henderson is licensed to practice in Arizona (license number AP5555) 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 1487711586.
Provider's Profile
Full Name | Mrs Lynn Ellen Henderson |
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Gender | Female |
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Speciality | Family Medicine - Adult Medicine |
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Location | Po Box 13492, Austin, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1487711586
- Provider Enumeration Date: 01/02/2007
- Last Update Date: 02/01/2019
Medicare PECOS Information:
- PECOS PAC ID: 7416994439
- Enrollment ID: I20170801000073
Medical Identifiers
Medical identifiers for Mrs Lynn Ellen Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487711586 | NPI | - | NPPES |
200514540 | Medicaid | IN | |
000000562731 | Other | IN | BLUE CROSS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LA2200X | Nurse Practitioner - Adult Health | 71001704 (Indiana) | Secondary |
207QA0505X | Family Medicine - Adult Medicine | AP5555 (Arizona) | 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. Mrs Lynn Ellen Henderson allows following entities to bill medicare on her behalf.
Entity Name | Adobe Provider Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1659850279 PECOS PAC ID: 0749683480 Enrollment ID: O20210719003252 |
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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. Mrs Lynn Ellen 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 |
Mrs Lynn Ellen Henderson, ANP 7404 W Darrow St, Laveen, AZ 85339-2643 Ph: (602) 303-5376 | Mrs Lynn Ellen Henderson, ANP Po Box 13492, Austin, TX 78711-3492 Ph: (415) 644-5051 |
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