Ebonie Nicole Henderson, in Tigard, OR - Medicare Clinical Social Worker Provider

Ebonie Nicole Henderson, is a medicare enrolled "Social Worker - Clinical" provider in Tigard, Oregon. She graduated from medical school in 2007 and has 18 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Brightside Medical Pc, Sequim Counseling Llc and her current practice location is 7100 Sw Hampton St Ste 223, Tigard, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 342-2510.

Ebonie Nicole Henderson is licensed to practice in North Carolina (license number C006788) 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 1730367616.

Contact Information

	Ebonie Nicole Henderson,
	7100 Sw Hampton St Ste 223, Tigard, OR 97223-8364
	(503) 342-2510
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ebonie Nicole Henderson
Gender	Female
Speciality	Clinical Social Worker
Experience	18 Years
Location	7100 Sw Hampton St Ste 223, Tigard, Oregon
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:

Ebonie Nicole Henderson graduated from medical school in 2007

NPI Data:

NPI Number: 1730367616
Provider Enumeration Date: 02/04/2008
Last Update Date: 03/25/2024

Medicare PECOS Information:

PECOS PAC ID: 6406016492
Enrollment ID: I20180725001482

Medical Identifiers

Medical identifiers for Ebonie Nicole Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730367616	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	C006788 (North Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Brightside Medical Pc	6608262464	242
Sequim Counseling Llc	0446664627	8

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. Ebonie Nicole Henderson allows following entities to bill medicare on her behalf.

Entity Name	Brightside Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801355482 PECOS PAC ID: 6608262464 Enrollment ID: O20230608002286

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. Ebonie Nicole 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
Ebonie Nicole Henderson, 7100 Sw Hampton St Ste 223, Tigard, OR 97223-8364 Ph: (503) 342-2510	Ebonie Nicole Henderson, 7100 Sw Hampton St Ste 223, Tigard, OR 97223-8364 Ph: (503) 342-2510

Reviews and Comments

Social Worker in Tigard, OR

Mr. Robert Lee Marrs, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 12600 Sw 72nd Ave, Suite 110, Tigard, OR 97223 Phone: 503-620-5455
Mr. William K Hunt, QMHP, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8915 Sw Center St, Tigard, OR 97223 Phone: 503-726-3906
Teresa L Stroup, BA, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9600 Sw Oak St, Tigard, OR 97223 Phone: 971-364-8069 Fax: 971-209-7261
Ms. Emily Elliott, M.S.W Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10313 Sw 69th Ave, Tigard, OR 97223 Phone: 503-726-3740
Mrs. Melody Sue George, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 11895 Sw Greenburg Rd, Tigard, OR 97223 Phone: 503-597-3894 Fax: 503-597-3895
Jessica Lynn Fox, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11315 Sw 105th Pl, Tigard, OR 97223 Phone: 503-502-2393
Lesley Muenzen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7100 Sw Hampton St Ste 223, Tigard, OR 97223 Phone: 503-342-2510

Ebonie Nicole Henderson, - Medicare Clinical Social Worker in Tigard, OR