Kristen Henderson, OTR/L in Vallejo, CA - Medicare Occupational Therapist Provider

Kristen Henderson, OTR/L is a medicare enrolled "Occupational Therapist - Physical Rehabilitation" provider in Vallejo, California. Her current practice location is 975 Sereno Dr, Vallejo, California. You can reach out to her office (for appointments etc.) via phone at (707) 651-2311.

Kristen Henderson is licensed to practice in California (license number 17844) 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 1265944656.

Contact Information

	Kristen Henderson, OTR/L
	975 Sereno Dr, Vallejo, CA 94589-2441
	(707) 651-2311
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kristen Henderson
Gender	Female
Speciality	Occupational Therapist - Physical Rehabilitation
Location	975 Sereno Dr, Vallejo, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265944656
Provider Enumeration Date: 10/25/2017
Last Update Date: 01/03/2022

Medicare PECOS Information:

PECOS PAC ID: 6709145022
Enrollment ID: I20180112001485

Medical Identifiers

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

Identifier	Type	State	Issuer
1265944656	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225XP0019X	Occupational Therapist - Physical Rehabilitation	17844 (California)	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. Kristen Henderson allows following entities to bill medicare on her behalf.

Provider Name	Permanente Medical Group Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Kristen 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
Kristen Henderson, OTR/L 7500 Batkin Ct, Cotati, CA 94931-4167 Ph: () -	Kristen Henderson, OTR/L 975 Sereno Dr, Vallejo, CA 94589-2441 Ph: (707) 651-2311

Reviews and Comments

Occupational Therapist in Vallejo, CA

Jamie Lutat, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1761 Broadway St, Vallejo, CA 94589 Phone: 707-651-1000
Mrs. Kianga Tahara Robinson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1439 Farrell St, Vallejo, CA 94590 Phone: 707-556-3227
Mrs. Mara Jones-bey, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1312
Kiley Salak, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-2341
Susan Meredith Cooke, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1312
Mrs. Rosalyn Johnson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 112 Lofas Pl, Vallejo, CA 94589 Phone: 916-802-5362
Kristine Alysse Ricossa, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000

Kristen Henderson, OTR/L - Medicare Occupational Therapist in Vallejo, CA