Kellie Lawrence Henderson, PA - Medicare Physician Assistant in East Ridge, TN

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Kellie Lawrence Henderson, PA is a medicare enrolled "Physician Assistant - Medical" in East Ridge, Tennessee. Her current practice location is 1508 Tombras Ave, East Ridge, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 867-4969.

Kellie Lawrence Henderson is licensed to practice in Tennessee (license number PA0000001098) 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 1225145865.

Contact Information

Kellie Lawrence Henderson, PA
1508 Tombras Ave,
East Ridge, TN 37412-2720
(423) 867-4969
(423) 867-4971

Map and Direction




Provider's Profile

Full NameKellie Lawrence Henderson
GenderFemale
SpecialityPhysician Assistant - Medical
Location1508 Tombras Ave, East Ridge, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1225145865
  • Provider Enumeration Date: 08/23/2006
  • Last Update Date: 08/05/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 3375431786
  • Enrollment ID: I20040308000916

Medical Identifiers

Medical identifiers for Kellie Lawrence Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225145865NPI-NPPES
4219886OtherTNBCBS- TENNESSEE
Q007546MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical PA0000001098 (Tennessee)Primary

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. Kellie Lawrence 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
Kellie Lawrence Henderson, PA
1508 Tombras Ave,
East Ridge, TN 37412-2720

Ph: (423) 867-4969		Kellie Lawrence Henderson, PA
1508 Tombras Ave,
East Ridge, TN 37412-2720

Ph: (423) 867-4969

Reviews and Comments


Physician Assistant Nurses in East Ridge, TN

Patricia Diane Blasick, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1508 Tombras Ave, East Ridge, TN 37412
Phone: 423-867-4969    Fax: 423-867-4971
Natalie Kathryn Mcqueen, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 961 Spring Creek Rd, East Ridge, TN 37412
Phone: 423-892-2221    Fax: 423-490-3407

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.