Dr Rebecca Gagne Henderson, PHD, NP-C FNP ACHPN in Middlebury, CT

Dr Rebecca Gagne Henderson, PHD, NP-C FNP ACHPN is a medicare enrolled "Nurse Practitioner - Family" in Middlebury, Connecticut. Her current practice location is 1579 Straits Tpke Ste 1e, Middlebury, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 490-1000.

Dr Rebecca Gagne Henderson is licensed to practice in Connecticut (license number 4925) 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 1851521215.

Contact Information

	Dr Rebecca Gagne Henderson, PHD, NP-C FNP ACHPN
	1579 Straits Tpke Ste 1e, Middlebury, CT 06762-1835
	(203) 490-1000
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Rebecca Gagne Henderson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1579 Straits Tpke Ste 1e, Middlebury, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851521215
Provider Enumeration Date: 07/20/2009
Last Update Date: 05/09/2022

Medicare PECOS Information:

PECOS PAC ID: 5698935237
Enrollment ID: I20120320000192

Medical Identifiers

Medical identifiers for Dr Rebecca Gagne Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851521215	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	4925 (Connecticut)	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. Dr Rebecca Gagne Henderson allows following entities to bill medicare on her behalf.

Entity Name	Northeast Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522

Entity Name	Mhs Primary Care, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366968182 PECOS PAC ID: 4082507371 Enrollment ID: O20171214000461

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. Dr Rebecca Gagne 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
Dr Rebecca Gagne Henderson, PHD, NP-C FNP ACHPN 6400 Shafer Ct Ste 700, Rosemont, IL 60018-4989 Ph: (346) 376-1702	Dr Rebecca Gagne Henderson, PHD, NP-C FNP ACHPN 1579 Straits Tpke Ste 1e, Middlebury, CT 06762-1835 Ph: (203) 490-1000

Reviews and Comments

Nurse Practitioner Nurses in Middlebury, CT

Milagros Arel Wong, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 199 Park Road Ext, Middlebury, CT 06762 Phone: 203-437-3111
Muneera Panjwani, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1579 Straits Tpke, Middlebury, CT 06762 Phone: 203-598-7246 Fax: 203-598-0200
Ana Quintana Villafuerte, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10 N Benson Rd, Middlebury, CT 06762 Phone: 203-758-1316
Ami S Marshall, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 530 Middlebury Rd Ste 103a, Middlebury, CT 06762 Phone: 203-527-6953 Fax: 203-528-4331
Emma O'neil, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1579 Straits Tpke, Middlebury, CT 06762 Phone: 203-598-7246
Ms. Stephanie Lauren Gunnoud, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1625 Straits Tpke, Suite 110, Middlebury, CT 06762 Phone: 203-758-8107 Fax: 203-568-2925
Sarah E Macone, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1625 Straits Tpke Ste 200, Middlebury, CT 06762 Phone: 203-758-1004

Dr Rebecca Gagne Henderson, PHD, NP-C FNP ACHPN - Medicare Nurse Practitioner in Middlebury, CT