Mrs Heather K Henderson, NURSE PRACTITIONER in Camillus, NY

Mrs Heather K Henderson, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Camillus, New York. Her current practice location is 5016 W Genesee St, Camillus, New York. You can reach out to her office (for appointments etc.) via phone at (315) 496-1020.

Mrs Heather K Henderson is licensed to practice in New York (license number F401141) 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 1255589909.

Contact Information

	Mrs Heather K Henderson, NURSE PRACTITIONER
	5016 W Genesee St, Camillus, NY 13031-2356
	(315) 496-1020
	(315) 226-7236

Map and Direction

Provider's Profile

Full Name	Mrs Heather K Henderson
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	5016 W Genesee St, Camillus, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255589909
Provider Enumeration Date: 09/07/2008
Last Update Date: 06/03/2026

Medicare PECOS Information:

PECOS PAC ID: 6709049273
Enrollment ID: I20120521000013

Medical Identifiers

Medical identifiers for Mrs Heather K Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255589909	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	F401141 (New York)	Primary
163W00000X	Registered Nurse	552060 (New York)	Secondary
363L00000X	Nurse Practitioner	F401141-1 (New York)	Secondary

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. Mrs Heather K Henderson allows following entities to bill medicare on her behalf.

Entity Name	Liberty Resources Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225254881 PECOS PAC ID: 4486703352 Enrollment ID: O20090526000025

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. Mrs Heather K 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
Mrs Heather K Henderson, NURSE PRACTITIONER 5016 W Genesee St, Camillus, NY 13031-2356 Ph: (315) 496-1020	Mrs Heather K Henderson, NURSE PRACTITIONER 5016 W Genesee St, Camillus, NY 13031-2356 Ph: (315) 496-1020

Reviews and Comments

Nurse Practitioner Nurses in Camillus, NY

Lori Kelly, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 439 Hinsdale Rd, Camillus, NY 13031 Phone: 315-488-0996
Nicole Lavalle, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 270 Township Blvd, Camillus, NY 13031 Phone: 315-487-1541
Ms. Alyssa Catherine Robens, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5639 W Genesee St, Camillus, NY 13031 Phone: 315-468-6888 Fax: 315-468-6892
Judith C Garrett, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5415 W Genesee St, Suite 301, Camillus, NY 13031 Phone: 315-487-8540 Fax: 315-487-5680
Kathleen M O'connor, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 436 Hinsdale Rd, Camillus, NY 13031 Phone: 315-488-0996 Fax: 315-488-1955
Nancy Popps, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5415 W Genesee St Ste 301, Camillus, NY 13031 Phone: 315-487-8109 Fax: 315-487-5680
Abigail Marie Brunner, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 208 Township Blvd, Suite 100, Camillus, NY 13031 Phone: 315-551-6000 Fax: 315-434-5300

Mrs Heather K Henderson, NURSE PRACTITIONER - Medicare Nurse Practitioner in Camillus, NY