Kimberly Ann Henderson, MA is a medicare enrolled "Physician Assistant" provider in Charlotte, North Carolina. She graduated from healthcare school in 2016 and has 10 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Mid-atlantic Emergency Medical Associates Pllc and her current practice location is
501 S Sharon Amity Rd Ste 300, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(704) 377-2424.
Kimberly Ann Henderson is licensed to practice in North Carolina (license number 0010-06963) 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 1538340641.
Healthcare Provider's Profile
| Full Name | Kimberly Ann Henderson |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 10 Years |
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| Location | 501 S Sharon Amity Rd Ste 300, Charlotte, North Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kimberly Ann Henderson graduated from medical school in 2016
NPI Data:
- NPI Number: 1538340641
- Provider Enumeration Date: 11/16/2007
- Last Update Date: 01/15/2025
Medicare PECOS Information:
- PECOS PAC ID: 9436433513
- Enrollment ID: I20170309001772
Medical Identifiers
Medical identifiers for Kimberly Ann Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1538340641 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 0010-06963 (North Carolina) | Secondary |
| 363A00000X | Physician Assistant | 0010-06963 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Mid-atlantic Emergency Medical Associates Pllc | 4880686823 | 100 |
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. Kimberly Ann 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 |
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Kimberly Ann Henderson, MA
501 S Sharon Amity Rd Ste 300,
Charlotte, NC 28211-0035
Ph: (704) 377-2424 | Kimberly Ann Henderson, MA
501 S Sharon Amity Rd Ste 300,
Charlotte, NC 28211-0035
Ph: (704) 377-2424 |
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