Elizabeth Tara Henley, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Ypsilanti, Michigan. Her current practice location is
Iha Hospital Medicine Services, 5301 E Hurlon River Drive, Ypsilanti, Michigan. You can reach out to her office (for appointments etc.) via phone at
(734) 712-8676.
Elizabeth Tara Henley is licensed to practice in * (Not Available) (license number ) 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 1457938730.
Physician's Profile
| Full Name | Elizabeth Tara Henley |
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| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | Iha Hospital Medicine Services, Ypsilanti, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1457938730
- Provider Enumeration Date: 03/24/2021
- Last Update Date: 06/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 5890196430
- Enrollment ID: I20240529001228
Medical Identifiers
Medical identifiers for Elizabeth Tara Henley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1457938730 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207R00000X | Internal Medicine | 5101027983 (Michigan) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Elizabeth Tara Henley allows following entities to bill medicare on her behalf.
| Entity Name | Iha Health Services Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457408965 PECOS PAC ID: 2466351440 Enrollment ID: O20040108000355 |
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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. Elizabeth Tara Henley 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 |
Elizabeth Tara Henley, DO 24 Frank Lloyd Wright Dr, Suite J2000, Ann Arbor, MI 48105 Ph: (734) 747-6766 | Elizabeth Tara Henley, DO Iha Hospital Medicine Services, 5301 E Hurlon River Drive, Ypsilanti, MI 48197 Ph: (734) 712-8676 |
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