Donald S Hensley, MD - Medicare Pediatrics in Petaluma, CA

Donald S Hensley, MD is a medicare enrolled "Pediatrics" physician in Petaluma, California. His current practice location is 3900 Lakeville Hwy, Petaluma, California. You can reach out to his office (for appointments etc.) via phone at (707) 765-3900.

Donald S Hensley is licensed to practice in California (license number A39530) 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 1184708166.

Contact Information

Donald S Hensley, MD
3900 Lakeville Hwy,
Petaluma, CA 94954-5698
(707) 765-3900
Not Available

Map and Direction




Physician's Profile

Full NameDonald S Hensley
GenderMale
SpecialityPediatrics
Location3900 Lakeville Hwy, Petaluma, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1184708166
  • Provider Enumeration Date: 10/25/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 4385831460
  • Enrollment ID: I20101215000743

Medical Identifiers

Medical identifiers for Donald S Hensley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184708166NPI-NPPES
00A395300MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics A39530 (California)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. Donald S Hensley allows following entities to bill medicare on his behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710

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. Donald S Hensley 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 AddressPractice Location Address
Donald S Hensley, MD
1800 Harrison St Fl 7,
Oakland, CA 94612-3429

Ph: (510) 625-6262
Donald S Hensley, MD
3900 Lakeville Hwy,
Petaluma, CA 94954-5698

Ph: (707) 765-3900

Reviews and Comments


Pediatrics Doctors in Petaluma, CA

Dr. Lindsey Hibbard, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3900 Lakeville Hwy, Petaluma, CA 94954
Phone: 707-765-3920    Fax: 707-765-3461
Mrs. Faye Susan Lundergan,
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1456 Professional Dr Ste 405, Petaluma, CA 94954
Phone: 707-769-7500    Fax: 707-769-7570
Dr. Eric D. Scher, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 400 4th St, Petaluma, CA 94952
Phone: 415-846-9160    
Dr. Ian Christopher Hopper, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1179 N Mcdowell Blvd, Petaluma, CA 94954
Phone: 707-559-7500    
Carol A. Ekelund, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3900 Lakeville Hwy, Petaluma, CA 94954
Phone: 707-765-3900    
Ms. Martha E Cueto-salas, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1179 N Mcdowell Blvd, Petaluma, CA 94954
Phone: 707-559-7500    Fax: 707-559-7707

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.