Mr Russell Loyd Henderson, FNP-BC in Bend, OR

Mr Russell Loyd Henderson, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Bend, Oregon. His current practice location is 595 Sw Bluff Dr Ste A, Bend, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 728-2063.

Mr Russell Loyd Henderson is licensed to practice in Oregon (license number 201401588NP-PP) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1336486943.

Contact Information

	Mr Russell Loyd Henderson, FNP-BC
	595 Sw Bluff Dr Ste A, Bend, OR 97702
	(541) 728-2063
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Russell Loyd Henderson
Gender	Male
Speciality	Nurse Practitioner - Family
Location	595 Sw Bluff Dr Ste A, Bend, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336486943
Provider Enumeration Date: 01/16/2013
Last Update Date: 07/11/2018

Medicare PECOS Information:

PECOS PAC ID: 8729225917
Enrollment ID: I20150130002387

Medical Identifiers

Medical identifiers for Mr Russell Loyd Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336486943	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	201401588NP-PP (Oregon)	Primary

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 Russell Loyd Henderson allows following entities to bill medicare on his behalf.

Entity Name	Icco Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407004757 PECOS PAC ID: 1355406729 Enrollment ID: O20090218000510

Entity Name	Doctors Emergency Room Corp Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811055437 PECOS PAC ID: 2668467317 Enrollment ID: O20121022000749

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 Russell Loyd 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
Mr Russell Loyd Henderson, FNP-BC Po Box 70673, Springfield, OR 97475-0133 Ph: (541) 248-9556	Mr Russell Loyd Henderson, FNP-BC 595 Sw Bluff Dr Ste A, Bend, OR 97702 Ph: (541) 728-2063

Reviews and Comments

Nurse Practitioner Nurses in Bend, OR

Mr. Nicholas J Campo Iii, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 233 Sw Wilson Ave Ste 201, Bend, OR 97702 Phone: 541-382-8862 Fax: 541-382-8928
Elaine Michele Brown, RN ARNP PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2100 Ne Neff Rd Ste B, Bend, OR 97701 Phone: 541-647-2132 Fax: 541-728-0109
Jonathan Andrew Mcfadyen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1501 Ne Medical Center Dr, Bend, OR 97701 Phone: 541-382-2811
Molly K Torvik, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1345 Nw Wall St Ste 202, Bend, OR 97703 Phone: 541-204-2021 Fax: 541-325-4011
Jennifer Nicole Herr, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1501 Ne Medical Center Dr, Bend, OR 97701 Phone: 541-382-4900
Samantha Mullis, NNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2500 Ne Neff Rd, Bend, OR 97701 Phone: 541-382-4321 Fax: 541-706-7068
Ms. Jordan Meier, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1345 Nw Wall St Ste 202, Bend, OR 97703 Phone: 541-204-2021 Fax: 541-325-4011

Mr Russell Loyd Henderson, FNP-BC - Medicare Nurse Practitioner in Bend, OR