Jose Luis Henao, MD in Rapid City, SD - Medicare Internal Medicine

Jose Luis Henao, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Rapid City, South Dakota. His current practice location is 640 Flormann St, Rapid City, South Dakota. You can reach out to his office (for appointments etc.) via phone at (605) 755-3300.

Jose Luis Henao is licensed to practice in New Mexico (license number MD2023-1540) 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 1275067613.

Contact Information

	Jose Luis Henao, MD
	640 Flormann St, Rapid City, SD 57701-4679
	(605) 755-3300
	Not Available

Map and Direction

Physician's Profile

Full Name	Jose Luis Henao
Gender	Male
Speciality	Internal Medicine - Nephrology
Location	640 Flormann St, Rapid City, South Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275067613
Provider Enumeration Date: 04/12/2017
Last Update Date: 03/15/2024

Medicare PECOS Information:

PECOS PAC ID: 4789094418
Enrollment ID: I20220913000857

Medical Identifiers

Medical identifiers for Jose Luis Henao such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275067613	NPI	-	NPPES
6L7121	Other	NM	MEDICARE
15136728	Medicaid	NM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	13298 (South Dakota)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207RN0300X	Internal Medicine - Nephrology	MD2023-1540 (New Mexico)	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. Jose Luis Henao allows following entities to bill medicare on his behalf.

Entity Name	Sanford Health Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790721280 PECOS PAC ID: 6800707100 Enrollment ID: O20031111000266

Entity Name	Monument Health Network Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588185268 PECOS PAC ID: 5991616427 Enrollment ID: O20031111000854

Entity Name	Monument Health Rapid City Hospital, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275553463 PECOS PAC ID: 6002729506 Enrollment ID: O20070625000144

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. Jose Luis Henao 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
Jose Luis Henao, MD 640 Flormann St, Rapid City, SD 57701-4679 Ph: (605) 755-3300	Jose Luis Henao, MD 640 Flormann St, Rapid City, SD 57701-4679 Ph: (605) 755-3300

Reviews and Comments

Internal Medicine Doctors in Rapid City, SD

Cliff Janikowski, Nephrology Medicare: Accepting Medicare Assignments Practice Location: 353 Fairmont Blvd, Rapid City, SD 57701 Phone: 605-755-1000
Dr. James A Engelbrecht, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 640 Flormann St, Rapid City, SD 57701 Phone: 605-718-3300 Fax: 605-718-3426
James Michael Keegan, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4940 5th St, Suite 1b, Rapid City, SD 57701 Phone: 605-342-8329
Santosh Raj Poudel, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 353 Fairmont Blvd., Rapid City, SD 57701 Phone: 605-719-1000 Fax: 605-719-8826
Dr. Oksana Anand, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2820 Mount Rushmore Rd, Rapid City, SD 57701 Phone: 605-342-3280
Masaru Chiba, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2805 5th St, Suite 100, Rapid City, SD 57701 Phone: 605-719-5700 Fax: 605-719-5701
John Palmer, DO Nephrology Medicare: Accepting Medicare Assignments Practice Location: 640 Flormann St, Rapid City, SD 57701 Phone: 605-755-3300 Fax: 605-755-3129

Jose Luis Henao, MD - Medicare Internal Medicine in Rapid City, SD