Caron Gibson Henderson, ANP - Medicare Nurse Practitioner in Leakesville, MS

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Caron Gibson Henderson, ANP is a medicare enrolled "Nurse Practitioner - Adult Health" in Leakesville, Mississippi. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Wcs Professional Services Of Mississippi, Llc and her current practice location is 1616 Williams Dr, Leakesville, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 394-2381.

Caron Gibson Henderson is licensed to practice in Mississippi (license number R873868) 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 1316253115.

Contact Information

Caron Gibson Henderson, ANP
1616 Williams Dr,
Leakesville, MS 39451-5622
(601) 394-2381
(601) 394-5715

Map and Direction




Provider's Profile

Full NameCaron Gibson Henderson
GenderFemale
SpecialityNurse Practitioner
Experience14 Years
Location1616 Williams Dr, Leakesville, Mississippi
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Caron Gibson Henderson graduated from nursing school in 2010
  NPI Data:
  • NPI Number: 1316253115
  • Provider Enumeration Date: 08/31/2010
  • Last Update Date: 03/29/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 2466612825
  • Enrollment ID: I20120322000576

Medical Identifiers

Medical identifiers for Caron Gibson Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316253115NPI-NPPES
09228250MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health R873868 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
H C Watkins Memorial Hospital IncQuitman, MSHospital
Tyler Holmes Memorial Hospital CahWinona, MSHospital
John C Stennis Memorial HospitalDe kalb, MSHospital
Lawrence County Hospital CahMonticello, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wcs Professional Services Of Mississippi, Llc34767905023

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. Caron Gibson Henderson allows following entities to bill medicare on her behalf.
Entity NameOutreach Health Services,inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548359565
PECOS PAC ID: 1951386911
Enrollment ID: O20040623000333
Entity NameFgh Trauma Surgery Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427090398
PECOS PAC ID: 7517916331
Enrollment ID: O20050119000801
Entity NamePioneer Health Care , Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336384742
PECOS PAC ID: 4789740044
Enrollment ID: O20090311000659
Entity NameWcs Professional Services Of Mississippi, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265785455
PECOS PAC ID: 3476790502
Enrollment ID: O20130509000499
Entity NameRestorixhealth At-home Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255974689
PECOS PAC ID: 8123455011
Enrollment ID: O20200519001619

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. Caron Gibson 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 AddressPractice Location Address
Caron Gibson Henderson, ANP
Po Box 160,
Leakesville, MS 39451-0160

Ph: (601) 394-2381		Caron Gibson Henderson, ANP
1616 Williams Dr,
Leakesville, MS 39451-5622

Ph: (601) 394-2381

Reviews and Comments


Nurse Practitioner Nurses in Leakesville, MS

Mr. Eric Ashley Mccraney, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1017 Jackson Ave, Leakesville, MS 39451
Phone: 601-947-1330    Fax: 601-947-1331
Danielle Eubanks, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1616 Williams Dr, Leakesville, MS 39451
Phone: 601-394-2381    
Wesley Donovan Freeman,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 951 Main St, Leakesville, MS 39451
Phone: 601-394-2381    
Mrs. Kendall Shea Thornton, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1616 Williams Dr, Leakesville, MS 39451
Phone: 601-394-2381    Fax: 601-394-2593
Cynthia Winette Denmark, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 320 Main St, Leakesville, MS 39451
Phone: 601-791-7001    Fax: 601-791-7016
Mrs. Amy Malinda Lott, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1616 Williams Dr, Leakesville, MS 39451
Phone: 601-394-2381    Fax: 601-394-2593

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.