Elena Kelsey Henderson, PHD in Chicago, IL - Medicare Psychologist Provider

Elena Kelsey Henderson, PHD is a medicare enrolled "Psychologist - Clinical" provider in Chicago, Illinois. Her current practice location is 912 S Wood St # 838, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (312) 413-1567.

Elena Kelsey Henderson is licensed to practice in Illinois (license number 071.011031) 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 1700570413.

Contact Information

	Elena Kelsey Henderson, PHD
	912 S Wood St # 838, Chicago, IL 60612-4300
	(312) 413-1567
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Elena Kelsey Henderson
Gender	Female
Speciality	Psychologist - Clinical
Location	912 S Wood St # 838, Chicago, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700570413
Provider Enumeration Date: 06/06/2023
Last Update Date: 10/30/2023

Medicare PECOS Information:

PECOS PAC ID: 7911354352
Enrollment ID: I20231107002761

Medical Identifiers

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

Identifier	Type	State	Issuer
1700570413	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	13007086-2501 (Utah)	Secondary
103TC0700X	Psychologist - Clinical	071.011031 (Illinois)	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. Elena Kelsey Henderson allows following entities to bill medicare on her behalf.

Entity Name	The Board Of Trustees Of The University Of Illinois
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609822147 PECOS PAC ID: 3072422716 Enrollment ID: O20040128001061

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. Elena Kelsey 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
Elena Kelsey Henderson, PHD 230 W 1300 S Unit 10, Salt Lake City, UT 84115-5586 Ph: (801) 436-4336	Elena Kelsey Henderson, PHD 912 S Wood St # 838, Chicago, IL 60612-4300 Ph: (312) 413-1567

Reviews and Comments

Psychologist in Chicago, IL

Dr. Pamela Daley, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 30 N Michigan Ave, Suite 1510, Chicago, IL 60602 Phone: 773-615-9477
Dr. Marilyn Sue Johnson, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 233 E Erie St, Chicago, IL 60611 Phone: 312-337-0374 Fax: 630-762-9978
Dr. Aisha Kazi, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 233 E Erie St, Suite 407, Chicago, IL 60611 Phone: 305-804-5842
Dr. Amber D Bauer-gambla, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 25 East Washington Street, Suite 1601, Chicago, IL 60602 Phone: 312-720-8008
Dr. Rachel Catherine Tercek, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1653 W. Congress Parkway, Chicago, IL 60612 Phone: 847-933-9339
Ms. Michelle T Frank, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1448 N Milwaukee Ave, Suite 201, Chicago, IL 60622 Phone: 773-486-4617 Fax: 773-486-4936
Dr. Rae Watkins, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1519 W Irving Park Rd Ste 1, Chicago, IL 60613 Phone: 773-600-7580

Elena Kelsey Henderson, PHD - Medicare Psychologist in Chicago, IL