Dr Elizabeth Connell Henderson, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Hickory, Mississippi. Her current practice location is
3848 County Road 24, Hickory, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 260-5939.
Dr Elizabeth Connell Henderson is licensed to practice in New York (license number 291871) 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 1023034758.
Physician's Profile
Full Name | Dr Elizabeth Connell Henderson |
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Gender | Female |
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Speciality | Psychiatry & Neurology - Psychiatry |
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Location | 3848 County Road 24, Hickory, Mississippi |
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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: 1023034758
- Provider Enumeration Date: 07/14/2006
- Last Update Date: 01/11/2018
Medicare PECOS Information:
- PECOS PAC ID: 0446215131
- Enrollment ID: I20041122000872
Medical Identifiers
Medical identifiers for Dr Elizabeth Connell Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023034758 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084A0401X | Psychiatry & Neurology - Addiction Medicine | 10944 (Mississippi) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 10944 (Mississippi) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 291871 (New York) | 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. Dr Elizabeth Connell Henderson allows following entities to bill medicare on her behalf.
Entity Name | Baptist Memorial Hospital - Golden Triangle Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1609830173 PECOS PAC ID: 1456244623 Enrollment ID: O20101116000167 |
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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. Dr Elizabeth Connell 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 |
Dr Elizabeth Connell Henderson, MD 571 Saint Josephs Blvd, Fl 2, Elmira, NY 14901-3230 Ph: (607) 271-2050 | Dr Elizabeth Connell Henderson, MD 3848 County Road 24, Hickory, MS 39332-2630 Ph: (601) 260-5939 |
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