Sean O Henderson, MD in Los Angeles, CA - Medicare Emergency Medicine

Sean O Henderson, MD is a medicare enrolled "Emergency Medicine" physician in Los Angeles, California. His current practice location is 1200 N State St, Room 1011, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (323) 226-6667.

Sean O Henderson is licensed to practice in California (license number G69803) 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 1205887064.

Contact Information

	Sean O Henderson, MD
	1200 N State St, Room 1011, Los Angeles, CA 90033-1029
	(323) 226-6667
	Not Available

Map and Direction

Physician's Profile

Full Name	Sean O Henderson
Gender	Male
Speciality	Emergency Medicine
Location	1200 N State St, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205887064
Provider Enumeration Date: 05/15/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 9638149800
Enrollment ID: I20040727000928

Medical Identifiers

Medical identifiers for Sean O Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205887064	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	G69803 (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. Sean O Henderson allows following entities to bill medicare on his behalf.

Entity Name	Cep America - California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548667843 PECOS PAC ID: 6103739131 Enrollment ID: O20040121000458

Entity Name	Usc Care Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902846306 PECOS PAC ID: 0446157747 Enrollment ID: O20050512000412

Entity Name	Corona Regional Emergency Medical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134629298 PECOS PAC ID: 9133481484 Enrollment ID: O20180326001396

Entity Name	Em Alliance California Apc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376305755 PECOS PAC ID: 1951749894 Enrollment ID: O20240410003580

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. Sean O 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
Sean O Henderson, MD 7327 Alta Vis, La Verne, CA 91750-1103 Ph: (909) 392-0716	Sean O Henderson, MD 1200 N State St, Room 1011, Los Angeles, CA 90033-1029 Ph: (323) 226-6667

Reviews and Comments

Emergency Medicine Doctors in Los Angeles, CA

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Dr. Tiffany Hackett, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8700 Beverly Blvd., Los Angeles, CA 90048 Phone: 310-967-1884 Fax: 310-967-1744
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Matthew S. Berry, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6041 Cadillac Ave, Los Angeles, CA 90034 Phone: 323-857-2000
Phillip Gruber, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1200 N State St, Los Angeles, CA 90033 Phone: 323-226-6667
Daniel Weingrow, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 757 Westwood Plz, Los Angeles, CA 90095 Phone: 310-825-2111

Sean O Henderson, MD - Medicare Emergency Medicine in Los Angeles, CA