Mr Derek Allen Henderson, PA - Medicare Physician Assistant in Buchanan, MI

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Mr Derek Allen Henderson, PA is a medicare enrolled "Physician Assistant" in Buchanan, Michigan. He graduated from nursing school in 2011 and has 15 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Lakeland Medical Practices and his current practice location is 1045 E Front St, Buchanan, Michigan. You can reach out to his office (for appointments etc.) via phone at (269) 695-5540.

Mr Derek Allen Henderson is licensed to practice in Michigan (license number 5601006108) 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 1447530498.

Contact Information

Mr Derek Allen Henderson, PA
1045 E Front St,
Buchanan, MI 49107-8474
(269) 695-5540
(269) 695-0412

Map and Direction




Provider's Profile

Full NameMr Derek Allen Henderson
GenderMale
SpecialityPhysician Assistant
Experience15 Years
Location1045 E Front St, Buchanan, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Derek Allen Henderson graduated from nursing school in 2011
  NPI Data:
  • NPI Number: 1447530498
  • Provider Enumeration Date: 08/23/2011
  • Last Update Date: 10/13/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 8325219397
  • Enrollment ID: I20110922000774

Medical Identifiers

Medical identifiers for Mr Derek Allen Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447530498NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 5601006108 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Corewell Health Lakeland Hospitals St Joseph HospitalBenton harbor, MIHome health agency
Corewell Health Lakeland Hospitals St Joseph HospiSt joseph, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lakeland Medical Practices1658427042286

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. Mr Derek Allen Henderson allows following entities to bill medicare on his behalf.
Entity NamePsychiatric Specialties, PLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841321072
PECOS PAC ID: 5799729265
Enrollment ID: O20050615000511
Entity NameLakeland Medical Practices
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538397120
PECOS PAC ID: 1658427042
Enrollment ID: O20090928000216

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. Mr Derek Allen 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
Mr Derek Allen Henderson, PA
Po Box 437,
Buchanan, MI 49107-0437

Ph: (269) 695-0262		Mr Derek Allen Henderson, PA
1045 E Front St,
Buchanan, MI 49107-8474

Ph: (269) 695-5540

Reviews and Comments


Physician Assistant Nurses in Buchanan, MI

Susan Jayne Smith, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1045 E Front St, Buchanan, MI 49107
Phone: 269-695-5540    Fax: 269-695-0412

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.