Stephen Russell Henderson, PT in Richmond, CA - Medicare Physical Therapist Provider

Stephen Russell Henderson, PT is a medicare enrolled "Physical Therapist" provider in Richmond, California. His current practice location is 901 Nevin Ave, Richmond, California. You can reach out to his office (for appointments etc.) via phone at (510) 307-1649.

Stephen Russell Henderson is licensed to practice in California (license number 22258) 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 1790845618.

Contact Information

	Stephen Russell Henderson, PT
	901 Nevin Ave, Richmond, CA 94801-3143
	(510) 307-1649
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Stephen Russell Henderson
Gender	Male
Speciality	Physical Therapist
Location	901 Nevin Ave, Richmond, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790845618
Provider Enumeration Date: 12/11/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2567591936
Enrollment ID: I20180712002781

Medical Identifiers

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

Identifier	Type	State	Issuer
1790845618	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	22258 (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. Stephen Russell Henderson allows following entities to bill medicare on his behalf.

Provider Name	Centra Outpatient Rehabilitation Services Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1871998120 PECOS PAC ID: 4789909987 Enrollment ID: O20150211000160

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. Stephen Russell 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
Stephen Russell Henderson, PT 901 Nevin Ave, Richmond, CA 94801-3143 Ph: (510) 307-1649	Stephen Russell Henderson, PT 901 Nevin Ave, Richmond, CA 94801-3143 Ph: (510) 307-1649

Reviews and Comments

Physical Therapist in Richmond, CA

Jonathan Stockton Chow, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2970 Hilltop Mall Rd, #203, Richmond, CA 94806 Phone: 510-222-8000
Mr. Yasin Baskan, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5639 Santa Cruz Ave, Richmond, CA 94804 Phone: 510-396-2846
Jude Xie, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 901 Nevin Ave, Richmond, CA 94801 Phone: 510-307-1500
Dr. Jennalyn Sujan Lew, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2970 Hilltop Mall Rd Ste 203, Richmond, CA 94806 Phone: 510-222-8000
Lydia Lee, Physical Therapist Medicare: Medicare Enrolled Practice Location: 901 Nevin Ave, Richmond, CA 94801 Phone: 510-307-1500
Nancy Carol Woelffer, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 901 Nevin Ave, Richmond, CA 94801 Phone: 510-307-1551 Fax: 510-307-1664
Narumon B Verweij, R.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1301 Hilltop Mall Rd, B101, Richmond, CA 94806 Phone: 510-222-8080 Fax: 510-222-8083

Stephen Russell Henderson, PT - Medicare Physical Therapist in Richmond, CA