Dr Shonte Henderson, DO in Forest Park, GA

Dr Shonte Henderson, DO is a medicare enrolled "Pediatrics" physician in Forest Park, Georgia. Her current practice location is 4905 Courtney Dr, Forest Park, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 366-3636.

Dr Shonte Henderson is licensed to practice in Pennsylvania (license number OS014543) 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 1780821884.

Contact Information

	Dr Shonte Henderson, DO
	4905 Courtney Dr, Forest Park, GA 30297-1427
	(404) 366-3636
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Shonte Henderson
Gender	Female
Speciality	Pediatrics
Location	4905 Courtney Dr, Forest Park, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780821884
Provider Enumeration Date: 01/12/2009
Last Update Date: 04/14/2022

Medicare PECOS Information:

PECOS PAC ID: 7911241252
Enrollment ID: I20181127003399

Medical Identifiers

Medical identifiers for Dr Shonte Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780821884	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	062516 (Georgia)	Secondary
208000000X	Pediatrics	OS014543 (Pennsylvania)	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 Shonte Henderson allows following entities to bill medicare on her behalf.

Entity Name	The Southeast Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370

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 Shonte 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
Dr Shonte Henderson, DO 4905 Courtney Dr, Forest Park, GA 30297-1427 Ph: (404) 366-3636	Dr Shonte Henderson, DO 4905 Courtney Dr, Forest Park, GA 30297-1427 Ph: (404) 366-3636

Reviews and Comments

Pediatrics Doctors in Forest Park, GA

Dr. Salma Elmubarak Elkhabier, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4905 Courtney Dr, Forest Park, GA 30297 Phone: 404-366-3636 Fax: 404-362-0808
Sherica Nicole Rosser, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 526 Forest Pkwy Ste K, Forest Park, GA 30297 Phone: 770-545-2052
Fahimot Oyinlola Faduyile, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4905 Courtney Dr, Forest Park, GA 30297 Phone: 404-366-3636 Fax: 404-362-0808
Daliannys Morales Mendez, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4905 Courtney Dr, Forest Park, GA 30297 Phone: 404-366-3636 Fax: 404-362-0808
Abigail Kamishlian, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4905 Courtney Dr, Forest Park, GA 30297 Phone: 404-366-3636 Fax: 404-362-0808
Dr. Crystal Mercia Malvoisin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4905 Courtney Dr, Forest Park, GA 30297 Phone: 404-366-3636 Fax: 404-362-0808

Dr Shonte Henderson, DO - Medicare Pediatrics in Forest Park, GA