Adina H Henderson, NP in Springfield, OR - Medicare Nurse Practitioner

Adina H Henderson, NP is a medicare enrolled "Nurse Practitioner" in Springfield, Oregon. Her current practice location is 1435 G St, Springfield, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 735-9420.

Adina H Henderson is licensed to practice in Oregon (license number 202207983NP-PP) 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 1063150704.

Contact Information

	Adina H Henderson, NP
	1435 G St, Springfield, OR 97477-4113
	(541) 735-9420
	(541) 747-9870

Map and Direction

Provider's Profile

Full Name	Adina H Henderson
Gender	Female
Speciality	Nurse Practitioner
Location	1435 G St, Springfield, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063150704
Provider Enumeration Date: 05/23/2022
Last Update Date: 07/23/2025

Medicare PECOS Information:

PECOS PAC ID: 1355722968
Enrollment ID: I20220713003397

Medical Identifiers

Medical identifiers for Adina H Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063150704	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	202207983NP-PP (Oregon)	Secondary
363LF0000X	Nurse Practitioner - Family	2018035089 (Missouri)	Secondary
363L00000X	Nurse Practitioner	202207983NP-PP (Oregon)	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. Adina H Henderson allows following entities to bill medicare on her behalf.

Entity Name	Oregon Healthcare Resources Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982907572 PECOS PAC ID: 4486835477 Enrollment ID: O20110223001220

Entity Name	G Street Integrated Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730734161 PECOS PAC ID: 6800126145 Enrollment ID: O20190930000321

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. Adina H 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
Adina H Henderson, NP Po Box 163, Springfield, OR 97477-0024 Ph: (541) 735-9420	Adina H Henderson, NP 1435 G St, Springfield, OR 97477-4113 Ph: (541) 735-9420

Reviews and Comments

Nurse Practitioner Nurses in Springfield, OR

Vivian Enyo Dzata, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2073 Olympic St, Springfield, OR 97477 Phone: 541-682-3550 Fax: 541-682-3551
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Donna Cash, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3311 River Bend Drive, Suite 300, Springfield, OR 97477 Phone: 541-484-4332 Fax: 541-302-0786
Patricia Louise Brisco, ANP, BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3355 Riverbend Dr Ste 300, Springfield, OR 97477 Phone: 541-868-9303 Fax: 541-868-9306
Alan Joseph Garcin, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3377 Riverbend Dr, Springfield, OR 97477 Phone: 541-222-8400 Fax: 541-222-8401

Adina H Henderson, NP - Medicare Nurse Practitioner in Springfield, OR