Chasity A Henry, MD in Appleton, WI

Chasity A Henry, MD is a medicare enrolled "Pediatrics" physician in Appleton, Wisconsin. Her current practice location is 2701 E Enterprise Ave, Appleton, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 954-2551.

Chasity A Henry is licensed to practice in Wisconsin (license number 49305) 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 1992731822.

Contact Information

	Chasity A Henry, MD
	2701 E Enterprise Ave, Appleton, WI 54913-7729
	(920) 954-2551
	Not Available

Map and Direction

Physician's Profile

Full Name	Chasity A Henry
Gender	Female
Speciality	Pediatrics
Location	2701 E Enterprise Ave, Appleton, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992731822
Provider Enumeration Date: 06/23/2006
Last Update Date: 02/08/2017

Medicare PECOS Information:

PECOS PAC ID: 9537320965
Enrollment ID: I20120412000108

Medical Identifiers

Medical identifiers for Chasity A Henry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992731822	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	49305 (Wisconsin)	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. Chasity A Henry allows following entities to bill medicare on her behalf.

Entity Name	Thedacare Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088

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. Chasity A Henry 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
Chasity A Henry, MD Po Box 8003, Appleton, WI 54912-8003 Ph: (920) 996-3298	Chasity A Henry, MD 2701 E Enterprise Ave, Appleton, WI 54913-7729 Ph: (920) 954-2551

Reviews and Comments

Pediatrics Doctors in Appleton, WI

Dr. Kimberly J Seeger Langlais, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2575 E Evergreen Drive, Appleton, WI 54913 Phone: 920-969-5353 Fax: 414-337-7201
Andre Krainik, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2701 E Enterprise Ave, Appleton, WI 54913 Phone: 920-954-2551
Elizabeth E Ermatinger, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2701 E Enterprise Ave, Appleton, WI 54913 Phone: 920-954-2551 Fax: 920-954-2554
Pankaj Jain, Pediatrics Medicare: Medicare Enrolled Practice Location: 1506 S Oneida St, Appleton, WI 54915 Phone: 920-730-7670
Wayne J Rusin, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1506 S Oneida St, Appleton, WI 54915 Phone: 920-730-4950
Ashley Preston, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1506 S Oneida St, Appleton, WI 54915 Phone: 920-730-4950
Sharon Rink, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2701 E Enterprise Ave, Appleton, WI 54913 Phone: 920-954-2551

Chasity A Henry, MD - Medicare Pediatrics in Appleton, WI