Mr Matthew Henderson, FNP-C in Carrollton, GA

Mr Matthew Henderson, FNP-C is a medicare enrolled "Nurse Practitioner" in Carrollton, Georgia. His current practice location is 150 Clinic Ave Ste 101, Carrollton, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 834-0873.

Mr Matthew Henderson is licensed to practice in Georgia (license number RN239465) 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 1013568740.

Contact Information

	Mr Matthew Henderson, FNP-C
	150 Clinic Ave Ste 101, Carrollton, GA 30117-4402
	(770) 834-0873
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Matthew Henderson
Gender	Male
Speciality	Nurse Practitioner
Location	150 Clinic Ave Ste 101, Carrollton, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013568740
Provider Enumeration Date: 09/24/2019
Last Update Date: 09/24/2019

Medicare PECOS Information:

PECOS PAC ID: 6608201843
Enrollment ID: I20200116002497

Medical Identifiers

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

Identifier	Type	State	Issuer
1013568740	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	RN239465 (Georgia)	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. Mr Matthew Henderson allows following entities to bill medicare on his behalf.

Entity Name	Carrollton Orthopaedic Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356483747 PECOS PAC ID: 7810989183 Enrollment ID: O20040330001027

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. Mr Matthew 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
Mr Matthew Henderson, FNP-C 227 Kramer St, Carrollton, GA 30117-3705 Ph: () -	Mr Matthew Henderson, FNP-C 150 Clinic Ave Ste 101, Carrollton, GA 30117-4402 Ph: (770) 834-0873

Reviews and Comments

Nurse Practitioner Nurses in Carrollton, GA

Sheila Reece Walls, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4248 Mount Zion Rd, Carrollton, GA 30117 Phone: 770-836-0103 Fax: 770-834-8828
Latoya Pulliam Bexley, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 410 Dixie St, Carrollton, GA 30117 Phone: 678-796-0681 Fax: 770-836-8477
Emilia Grace Janney, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 527 Tanner St, Carrollton, GA 30117 Phone: 770-537-1234 Fax: 770-537-1237
Ronda S Phillips, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 705 Dixie St, Suite 401, Carrollton, GA 30117 Phone: 770-838-8824 Fax: 770-838-8922
Amy Hicks, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 104 Rome St, Carrollton, GA 30117 Phone: 404-301-4042
Kelly R Thompson, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 705 Dixie St, Carrollton, GA 30117 Phone: 770-836-9666 Fax: 770-836-8922

Mr Matthew Henderson, FNP-C - Medicare Nurse Practitioner in Carrollton, GA