Malia Pearl Henderson, AUD in San Luis Obispo, CA - Medicare Otolaryngology Provider

Malia Pearl Henderson, AUD is a medicare enrolled "Audiologist" provider in San Luis Obispo, California. She graduated from medical school in 2023 and has 3 years of diverse experience with area of expertise as Otolaryngology. She is a member of the group practice M K Larson Audiology Inc and her current practice location is 628 California Blvd Ste D1, San Luis Obispo, California. You can reach out to her office (for appointments etc.) via phone at (805) 242-4487.

Malia Pearl Henderson is licensed to practice in California (license number 3833) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1790557304.

Contact Information

	Malia Pearl Henderson, AUD
	628 California Blvd Ste D1, San Luis Obispo, CA 93401-2559
	(805) 242-4487
	(805) 242-0427

Map and Direction

Healthcare Provider's Profile

Full Name	Malia Pearl Henderson
Gender	Female
Speciality	Otolaryngology
Experience	3 Years
Location	628 California Blvd Ste D1, San Luis Obispo, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Malia Pearl Henderson graduated from medical school in 2023

NPI Data:

NPI Number: 1790557304
Provider Enumeration Date: 10/26/2023
Last Update Date: 06/19/2026

Medicare PECOS Information:

PECOS PAC ID: 7911350681
Enrollment ID: I20240129004412

Medical Identifiers

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

Identifier	Type	State	Issuer
1790557304	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
231H00000X	Audiologist	3833 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
M K Larson Audiology Inc	9830525203	3

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. Malia Pearl Henderson allows following entities to bill medicare on her behalf.

Provider Name	Faculty Physicians And Surgeons Of Llusm
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981

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. Malia Pearl 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
Malia Pearl Henderson, AUD 628 California Blvd Ste D1, San Luis Obispo, CA 93401-2559 Ph: (805) 242-4487	Malia Pearl Henderson, AUD 628 California Blvd Ste D1, San Luis Obispo, CA 93401-2559 Ph: (805) 242-4487

Reviews and Comments

Audiologist in San Luis Obispo, CA

Dr. Ryan Kennard, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 1035 Peach St Ste 204, San Luis Obispo, CA 93401 Phone: 805-476-6212 Fax: 805-269-8091
Pacific Coast Audiology, Inc. Audiologist Medicare: Medicare Enrolled Practice Location: 1035 Peach St Ste 204, San Luis Obispo, CA 93401 Phone: 805-476-6212 Fax: 805-269-8091
Karen M Scott M A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 3220 South Higuera Street, Ste. 320, San Luis Obispo, CA 93401 Phone: 805-541-1790 Fax: 805-541-1793
Ear, Nose & Throat Specialists Hearing Aids, Llc Audiologist Medicare: Not Enrolled in Medicare Practice Location: 895 Aerovista Pl Ste 103, San Luis Obispo, CA 93401 Phone: 805-541-2368 Fax: 805-541-2553
Megan K Larson, A.U.D Audiologist Medicare: Accepting Medicare Assignments Practice Location: 628 California Blvd Ste D1, San Luis Obispo, CA 93401 Phone: 805-242-4487 Fax: 805-242-4487
M K Larson Audiology Inc Audiologist Medicare: Medicare Enrolled Practice Location: 628 California Blvd Ste D1, San Luis Obispo, CA 93401 Phone: 805-242-4487 Fax: 805-242-0427

Malia Pearl Henderson, AUD - Medicare Audiologist in San Luis Obispo, CA