Brandy N Henson, NP is a medicare enrolled "Pediatrics" in Longview, Texas. She graduated from nursing school in 2015 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mt Enterprise Community Health Clinic and her current practice location is
818 N 4th St, Longview, Texas. You can reach out to her office (for appointments etc.) via phone at
(903) 236-8600.
Brandy N Henson is licensed to practice in Washington (license number AP60724707) 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 1316318157.
Provider's Profile
| Full Name | Brandy N Henson |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 10 Years |
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| Location | 818 N 4th St, Longview, Texas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Brandy N Henson graduated from nursing school in 2015
NPI Data:
- NPI Number: 1316318157
- Provider Enumeration Date: 10/19/2015
- Last Update Date: 10/20/2021
Medicare PECOS Information:
- PECOS PAC ID: 2264725068
- Enrollment ID: I20240717003937
Medical Identifiers
Medical identifiers for Brandy N Henson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316318157 | NPI | - | NPPES |
| 2074713 | Medicaid | WA | |
| 214655758 | Medicaid | AR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LP0222X | Nurse Practitioner - Pediatrics, Critical Care | AP60724707 (Washington) | Secondary |
| 208000000X | Pediatrics | AP60724707 (Washington) | Primary |
| 363LP0200X | Nurse Practitioner - Pediatrics | AP60724707 (Washington) | Secondary |
| 208000000X | Pediatrics | AP129290 (Texas) | Secondary |
| 363L00000X | Nurse Practitioner | AP60724707 (Washington) | Secondary |
| 363LN0000X | Nurse Practitioner - Neonatal | AP60724707 (Washington) | Secondary |
| 363LN0005X | Nurse Practitioner - Neonatal, Critical Care | AP60724707 (Washington) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Mt Enterprise Community Health Clinic | 2860303922 | 10 |
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. Brandy N Henson allows following entities to bill medicare on her behalf.
| Entity Name | Mt Enterprise Community Health Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649412354
PECOS PAC ID: 2860303922
Enrollment ID: O20110801000150 |
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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. Brandy N Henson 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 |
|---|
Brandy N Henson, NP
818 N 4th St,
Longview, TX 75601
Ph: (509) 942-3627 | Brandy N Henson, NP
818 N 4th St,
Longview, TX 75601
Ph: (903) 236-8600 |
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