Tina Lucille Henderson, PMHNP-BC - Medicare Nurse Practitioner in Lebanon, VA

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Tina Lucille Henderson, PMHNP-BC is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health, Geropsychiatric" in Lebanon, Virginia. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southwest Regional Counseling Service Inc and her current practice location is 1114 E Main St, Lebanon, Virginia. You can reach out to her office (for appointments etc.) via phone at (276) 883-5050.

Tina Lucille Henderson is licensed to practice in Virginia (license number 0024178041) 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 1831745611.

Contact Information

Tina Lucille Henderson, PMHNP-BC
1114 E Main St,
Lebanon, VA 24266-5014
(276) 883-5050
Not Available

Map and Direction




Provider's Profile

Full NameTina Lucille Henderson
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location1114 E Main St, Lebanon, Virginia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tina Lucille Henderson graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1831745611
  • Provider Enumeration Date: 08/16/2019
  • Last Update Date: 08/16/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2365878865
  • Enrollment ID: I20200131000909

Medical Identifiers

Medical identifiers for Tina Lucille Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831745611NPI-NPPES
0024178041OtherVABOARD OF NURSING
0024178041OtherVALICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364SP0813XClinical Nurse Specialist - Psychiatric/mental Health, Geropsychiatric 0024178041 (Virginia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southwest Regional Counseling Service Inc91335259673

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. Tina Lucille Henderson allows following entities to bill medicare on her behalf.
Entity NameHealing Waters Counseling Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124329388
PECOS PAC ID: 9931362399
Enrollment ID: O20120522001002
Entity NameSouthwest Regional Counseling Service Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063078855
PECOS PAC ID: 9133525967
Enrollment ID: O20210902001563

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. Tina Lucille 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 AddressPractice Location Address
Tina Lucille Henderson, PMHNP-BC
1981 Scratch Gravel Rd,
Marion, VA 24354-7015

Ph: (276) 780-4946		Tina Lucille Henderson, PMHNP-BC
1114 E Main St,
Lebanon, VA 24266-5014

Ph: (276) 883-5050

Reviews and Comments


Clinical Nurse Specialist Nurses in Lebanon, VA


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.