Dr Carly Anne Heninger, MD in Stanford, CA

Dr Carly Anne Heninger, MD is a medicare enrolled "Pediatrics" physician in Stanford, California. Her current practice location is 300 Pasteur Dr, Stanford, California. You can reach out to her office (for appointments etc.) via phone at (650) 498-7103.

Dr Carly Anne Heninger is licensed to practice in California (license number A101108) 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 1548456437.

Contact Information

	Dr Carly Anne Heninger, MD
	300 Pasteur Dr, Stanford, CA 94305-2200
	(650) 498-7103
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Carly Anne Heninger
Gender	Female
Speciality	Pediatrics
Location	300 Pasteur Dr, Stanford, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548456437
Provider Enumeration Date: 09/24/2007
Last Update Date: 12/14/2021

Medicare PECOS Information:

PECOS PAC ID: 5496805186
Enrollment ID: I20090618000619

Medical Identifiers

Medical identifiers for Dr Carly Anne Heninger such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548456437	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A101108 (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. Dr Carly Anne Heninger allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Dr Carly Anne Heninger 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
Dr Carly Anne Heninger, MD 300 Pasteur Dr, Stanford, CA 94305-2200 Ph: (650) 498-7103	Dr Carly Anne Heninger, MD 300 Pasteur Dr, Stanford, CA 94305-2200 Ph: (650) 498-7103

Reviews and Comments

Pediatrics Doctors in Stanford, CA

Kathryn Gopez, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-498-7103
Dr. Kathleen Gutierrez, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-5682 Fax: 650-725-8040
Reem Itani, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000
Brittany Rae Boswell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000
Paden Danielle Angelo, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000
Sravanthi Puranam, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000
Angela S. Feng, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000

Dr Carly Anne Heninger, MD - Medicare Pediatrics in Stanford, CA