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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