Annette Laqueta Henley, RN in Columbus, MS - Medicare Nurse Practitioner

Annette Laqueta Henley, RN is a medicare enrolled "Nurse Practitioner - Family" in Columbus, Mississippi. Her current practice location is 92 First Colony Cir, Columbus, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 251-3188.

Annette Laqueta Henley is licensed to practice in Mississippi (license number 906994) 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 1063098804.

Contact Information

	Annette Laqueta Henley, RN
	92 First Colony Cir, Columbus, MS 39702-7900
	(662) 251-3188
	Not Available

Map and Direction

Provider's Profile

Full Name	Annette Laqueta Henley
Gender	Female
Speciality	Nurse Practitioner - Family
Location	92 First Colony Cir, Columbus, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063098804
Provider Enumeration Date: 03/22/2021
Last Update Date: 10/14/2024

Medicare PECOS Information:

PECOS PAC ID: 7719412170
Enrollment ID: I20241121001848

Medical Identifiers

Medical identifiers for Annette Laqueta Henley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063098804	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WH0200X	Registered Nurse - Home Health	903378 (Mississippi)	Secondary
363LF0000X	Nurse Practitioner - Family	906994 (Mississippi)	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. Annette Laqueta Henley allows following entities to bill medicare on her behalf.

Entity Name	Signify Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210323002802

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. Annette Laqueta Henley 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
Annette Laqueta Henley, RN 92 First Colony Cir, Columbus, MS 39702-7900 Ph: (662) 251-3188	Annette Laqueta Henley, RN 92 First Colony Cir, Columbus, MS 39702-7900 Ph: (662) 251-3188

Reviews and Comments

Nurse Practitioner Nurses in Columbus, MS

Mrs. Celia Lasky Kidder, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2110 5th St N, Columbus, MS 39705 Phone: 662-243-2435 Fax: 662-328-7037
Dr. Janice Davidson, PHD FNP-BC FAANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 514 7th St S, Columbus, MS 39701 Phone: 662-328-6293
Misti Garnett, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 56 Dutch Ln, Columbus, MS 39702 Phone: 662-329-3808 Fax: 662-329-3873
Tiffany Watson, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3600 Bluecutt Rd Ste 101, Columbus, MS 39705 Phone: 662-570-4770
John S Dornan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 425 Hospital Dr, Suite 4, Columbus, MS 39705 Phone: 662-240-0650 Fax: 662-240-0483
Christopher Pennington, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 114 N Lehmberg Rd, Columbus, MS 39702 Phone: 662-329-2955
Mrs. Janet Myers, AGACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2520 5th St N, Columbus, MS 39705 Phone: 662-244-2042 Fax: 662-244-3287

Annette Laqueta Henley, RN - Medicare Nurse Practitioner in Columbus, MS