Timothy Edward Henley, PA is a medicare enrolled "Physician Assistant" in Sandia Park, New Mexico. His current practice location is
35 Roberts Rd, Sandia Park, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(505) 977-0144.
Timothy Edward Henley is licensed to practice in New Mexico (license number PA2023-0309) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1477289494.
Provider's Profile
Full Name | Timothy Edward Henley |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 35 Roberts Rd, Sandia Park, New Mexico |
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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: 1477289494
- Provider Enumeration Date: 08/01/2022
- Last Update Date: 02/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 4486099678
- Enrollment ID: I20240227004076
Medical Identifiers
Medical identifiers for Timothy Edward Henley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477289494 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | PA2023-0309 (New Mexico) | Primary |
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. Timothy Edward Henley 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 |
Timothy Edward Henley, PA 35 Roberts Rd, Sandia Park, NM 87047-9352 Ph: (505) 977-0144 | Timothy Edward Henley, PA 35 Roberts Rd, Sandia Park, NM 87047-9352 Ph: (505) 977-0144 |
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