Amanda Jaquay Henderson, in Stafford, TX - Medicare Nurse Practitioner

Amanda Jaquay Henderson, is a medicare enrolled "Nurse Practitioner - Family" in Stafford, Texas. Her current practice location is 10707 Corporate Dr Ste 140, Stafford, Texas. You can reach out to her office (for appointments etc.) via phone at (409) 996-1351.

Amanda Jaquay Henderson is licensed to practice in Texas (license number 1193342) 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 1407642689.

Contact Information

	Amanda Jaquay Henderson,
	10707 Corporate Dr Ste 140, Stafford, TX 77477-4092
	(409) 996-1351
	Not Available

Map and Direction

Provider's Profile

Full Name	Amanda Jaquay Henderson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	10707 Corporate Dr Ste 140, Stafford, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407642689
Provider Enumeration Date: 04/16/2025
Last Update Date: 04/17/2025

Medicare PECOS Information:

PECOS PAC ID: 8628594231
Enrollment ID: I20250428001276

Medical Identifiers

Medical identifiers for Amanda Jaquay Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407642689	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1193342 (Texas)	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. Amanda Jaquay Henderson allows following entities to bill medicare on her behalf.

Entity Name	Advanced Healthcare Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265252522 PECOS PAC ID: 5799733705 Enrollment ID: O20241202002291

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. Amanda Jaquay 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
Amanda Jaquay Henderson, 2608 Briar Rose Ct, Pearland, TX 77584-1582 Ph: (409) 996-1351	Amanda Jaquay Henderson, 10707 Corporate Dr Ste 140, Stafford, TX 77477-4092 Ph: (409) 996-1351

Reviews and Comments

Nurse Practitioner Nurses in Stafford, TX

Katherine Tseng, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11211 Nexus Ave, Stafford, TX 77477 Phone: 713-442-8000
Chandrika Padmavathyamma, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11925 Southwest Fwy Ste 12, Stafford, TX 77477 Phone: 281-741-9145
Mrs. Oludolapo A Lofinmakin, FNP-C, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12603 Southwest Fwy Ste 510, Stafford, TX 77477 Phone: 281-494-4471 Fax: 833-471-3020
Ashley Ray, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3623 S Main St # 109, Stafford, TX 77477 Phone: 281-969-7643 Fax: 281-969-5332
Yindri Reyes Negrin, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12240 Murphy Rd Ste A, Stafford, TX 77477 Phone: 832-988-1161
Esther Ogechi Peter, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 543 Nadia Way, Stafford, TX 77477 Phone: 832-492-2102
Ms. Brenda S Mallett, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10435 Greenbough Dr Ste 300, Stafford, TX 77477 Phone: 281-261-0182

Amanda Jaquay Henderson, - Medicare Nurse Practitioner in Stafford, TX