Shasta Elizabeth Henderson, MD in Glendale, AZ

Shasta Elizabeth Henderson, MD is a medicare enrolled "Orthopaedic Surgery - Orthopaedic Trauma" physician in Glendale, Arizona. She graduated from medical school in 2013 and has 12 years of diverse experience with area of expertise as Orthopedic Surgery. She is a member of the group practice Tri-county Surgical Specialists Llc and her current practice location is 5601 W Eugie Ave Ste 100, Glendale, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 865-4510.

Shasta Elizabeth Henderson is licensed to practice in Arizona (license number 74368) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1316383953.

Contact Information

	Shasta Elizabeth Henderson, MD
	5601 W Eugie Ave Ste 100, Glendale, AZ 85304-1256
	(602) 865-4510
	Not Available

Map and Direction

Physician's Profile

Full Name	Shasta Elizabeth Henderson
Gender	Female
Speciality	Orthopedic Surgery
Experience	12 Years
Location	5601 W Eugie Ave Ste 100, Glendale, Arizona
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Shasta Elizabeth Henderson graduated from medical school in 2013

NPI Data:

NPI Number: 1316383953
Provider Enumeration Date: 05/21/2013
Last Update Date: 05/11/2025

Medicare PECOS Information:

PECOS PAC ID: 2567762776
Enrollment ID: I20200127000127

Medical Identifiers

Medical identifiers for Shasta Elizabeth Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316383953	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207XX0801X	Orthopaedic Surgery - Orthopaedic Trauma	83022 (South Carolina)	Secondary
207XX0801X	Orthopaedic Surgery - Orthopaedic Trauma	74368 (Arizona)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Roper-st. Francis Home Health	Charleston, SC	Home health agency
Trident Medical Center	Charleston, SC	Hospital
Banner Thunderbird Medical Center	Glendale, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Tri-county Surgical Specialists Llc	1658540505	31

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. Shasta Elizabeth Henderson allows following entities to bill medicare on her behalf.

Entity Name	Tri-county Surgical Specialists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659661544 PECOS PAC ID: 1658540505 Enrollment ID: O20110810000001

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. Shasta Elizabeth 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
Shasta Elizabeth Henderson, MD 1208 Red Buckeye Ct, Moncks Corner, SC 29461-8600 Ph: (310) 721-8870	Shasta Elizabeth Henderson, MD 5601 W Eugie Ave Ste 100, Glendale, AZ 85304-1256 Ph: (602) 865-4510

Reviews and Comments

Orthopaedic Surgery Doctors in Glendale, AZ

Mark Allen, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6320 W Union Hills Dr Ste 1400b, Glendale, AZ 85308 Phone: 877-821-4657
Louis Pak-shun Vu, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5310 W Thunderbird Rd, Suite 110, Glendale, AZ 85306 Phone: 602-865-4510 Fax: 602-865-6100
Brent Paul Hansen, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6320 W Union Hills Dr Ste 1800, Glendale, AZ 85308 Phone: 480-420-0749 Fax: 480-420-0732
Kraig M Burgess, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 18555 N 79th Ave Ste E101, Glendale, AZ 85308 Phone: 602-648-5444 Fax: 602-772-3801
Kelly Leigh Scott, M.D., M.P.H Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 7701 W Aspera Blvd Ste 201301, Glendale, AZ 85308 Phone: 623-876-3870
Edward P Fink, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 5310 W Thunderbird Rd, Suite 110, Glendale, AZ 85306 Phone: 602-865-4510

Shasta Elizabeth Henderson, MD - Medicare Orthopedic Surgery in Glendale, AZ