David Randall Henderson, in Santa Monica, CA - Medicare Nurse Practitioner

David Randall Henderson, is a medicare enrolled "Nurse Practitioner - Acute Care" in Santa Monica, California. He graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice The Regents Of The University Of California and his current practice location is 1131 Wilshire Blvd Ste 100, Santa Monica, California. You can reach out to his office (for appointments etc.) via phone at (310) 319-3475.

David Randall Henderson is licensed to practice in California (license number 95018728) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1629746003.

Contact Information

	David Randall Henderson,
	1131 Wilshire Blvd Ste 100, Santa Monica, CA 90401-2072
	(310) 319-3475
	Not Available

Map and Direction

Provider's Profile

Full Name	David Randall Henderson
Gender	Male
Speciality	Nurse Practitioner
Experience	3 Years
Location	1131 Wilshire Blvd Ste 100, Santa Monica, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

David Randall Henderson graduated from nursing school in 2021

NPI Data:

NPI Number: 1629746003
Provider Enumeration Date: 09/01/2021
Last Update Date: 12/13/2021

Medicare PECOS Information:

PECOS PAC ID: 6800284118
Enrollment ID: I20211019001063

Medical Identifiers

Medical identifiers for David Randall Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629746003	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	798129 (California)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	95018728 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Santa Monica - Ucla Med Ctr & Orthopaedic Hospital	Santa monica, CA	Hospital
Ronald Reagan Ucla Medical Center	Los angeles, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Regents Of The University Of California	1355249491	43

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. David Randall Henderson allows following entities to bill medicare on his behalf.

Entity Name	The Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538125844 PECOS PAC ID: 1355249491 Enrollment ID: O20031226000291

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. David Randall 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
David Randall Henderson, 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: () -	David Randall Henderson, 1131 Wilshire Blvd Ste 100, Santa Monica, CA 90401-2072 Ph: (310) 319-3475

Reviews and Comments

Nurse Practitioner Nurses in Santa Monica, CA

Claudia L Wong, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1301 20th St Ste 150, Santa Monica, CA 90404 Phone: 310-582-7641 Fax: 310-315-4069
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Ermina Cavcic, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1250 16th St, Santa Monica, CA 90404 Phone: 424-259-8262
Brittany Masters, MSN, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1450 10th St, Suite 404, Santa Monica, CA 90401 Phone: 310-451-8144 Fax: 310-451-3414
Cristina Shallenberger, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2021 Santa Monica Blvd, Suite 600 East, Santa Monica, CA 90404 Phone: 310-828-2282
Misbah Akbar, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2121 Wilshire Blvd Ste 303, Santa Monica, CA 90403 Phone: 805-719-3700 Fax: 805-413-9099
Tamar Lori Knadjian-hindin, RN, AGPCNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1301 20th St Ste 590, Santa Monica, CA 90404 Phone: 310-315-0101

David Randall Henderson, - Medicare Nurse Practitioner in Santa Monica, CA