Mrs Tracy Le Henry, MSN, FNP-C, PMHNP-BC in Northridge, CA

Mrs Tracy Le Henry, MSN, FNP-C, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Northridge, California. She graduated from nursing school in 2016 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Fawzy Basta M D A Professional Corporation and her current practice location is 17075 Devonshire St Ste 204, Northridge, California. You can reach out to her office (for appointments etc.) via phone at (818) 368-8929.

Mrs Tracy Le Henry is licensed to practice in California (license number 95007673) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1295249225.

Contact Information

	Mrs Tracy Le Henry, MSN, FNP-C, PMHNP-BC
	17075 Devonshire St Ste 204, Northridge, CA 91325-5408
	(818) 368-8929
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Tracy Le Henry
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	17075 Devonshire St Ste 204, Northridge, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Tracy Le Henry graduated from nursing school in 2016

NPI Data:

NPI Number: 1295249225
Provider Enumeration Date: 11/29/2017
Last Update Date: 02/22/2025

Medicare PECOS Information:

PECOS PAC ID: 8022377381
Enrollment ID: I20180111001518

Medical Identifiers

Medical identifiers for Mrs Tracy Le Henry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295249225	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	65007673 (California)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95007673 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Fawzy Basta M D A Professional Corporation	4880639814	4

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 Tracy Le Henry allows following entities to bill medicare on her behalf.

Entity Name	Mission City Community Network, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710102009 PECOS PAC ID: 1658264684 Enrollment ID: O20040204000544

Entity Name	Fawzy Basta M D A Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508932500 PECOS PAC ID: 4880639814 Enrollment ID: O20050621000763

Entity Name	Exer Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588901532 PECOS PAC ID: 9032359534 Enrollment ID: O20130705000153

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 Tracy Le Henry 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 Tracy Le Henry, MSN, FNP-C, PMHNP-BC 620 Houseman St, La Canada Flintridge, CA 91011-2638 Ph: (310) 902-5364	Mrs Tracy Le Henry, MSN, FNP-C, PMHNP-BC 17075 Devonshire St Ste 204, Northridge, CA 91325-5408 Ph: (818) 368-8929

Reviews and Comments

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Mrs Tracy Le Henry, MSN, FNP-C, PMHNP-BC - Medicare Nurse Practitioner in Northridge, CA