Ms Kywina Marie Henderson, FNP, PMHNP-BC in Sherman Oaks, CA

Ms Kywina Marie Henderson, FNP, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Sherman Oaks, California. Her current practice location is 13425 Ventura Blvd Ste 201, Sherman Oaks, California. You can reach out to her office (for appointments etc.) via phone at (818) 305-6061.

Ms Kywina Marie Henderson is licensed to practice in California (license number 17177) 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 1609079839.

Contact Information

	Ms Kywina Marie Henderson, FNP, PMHNP-BC
	13425 Ventura Blvd Ste 201, Sherman Oaks, CA 91423-3974
	(818) 305-6061
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Kywina Marie Henderson
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	13425 Ventura Blvd Ste 201, Sherman Oaks, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609079839
Provider Enumeration Date: 06/06/2007
Last Update Date: 06/21/2022

Medicare PECOS Information:

PECOS PAC ID: 7911388053
Enrollment ID: I20220720001664

Medical Identifiers

Medical identifiers for Ms Kywina Marie Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609079839	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	17177 (California)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	17177 (California)	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. Ms Kywina Marie Henderson allows following entities to bill medicare on her behalf.

Entity Name	Telecare Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720164882 PECOS PAC ID: 6901820380 Enrollment ID: O20070614000167

Entity Name	Mellow Medical Inc A Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407275886 PECOS PAC ID: 3375767403 Enrollment ID: O20140611002222

Entity Name	K Somanath Md Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649998022 PECOS PAC ID: 8022488469 Enrollment ID: O20221230000233

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. Ms Kywina Marie 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
Ms Kywina Marie Henderson, FNP, PMHNP-BC 1609 Vermont Pl, Pomona, CA 91768-1461 Ph: (909) 788-4638	Ms Kywina Marie Henderson, FNP, PMHNP-BC 13425 Ventura Blvd Ste 201, Sherman Oaks, CA 91423-3974 Ph: (818) 305-6061

Reviews and Comments

Nurse Practitioner Nurses in Sherman Oaks, CA

Sonya Hallabyan, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4419 Van Nuys Blvd Ste 403, Sherman Oaks, CA 91403 Phone: 705-710-0747
Somaly Sith, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4849 Van Nuys Blvd # 202, Sherman Oaks, CA 91403 Phone: 404-213-0453
Mrs. Allison W Dolphin, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14735 Ventura Blvd, Sherman Oaks, CA 91403 Phone: 818-788-0208
Jennifer Quandt Nunez, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15477 Ventura Blvd, Sherman Oaks, CA 91403 Phone: 818-907-0322
Racquelle Ranan Tugade Thieling, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5805 Sepulveda Blvd Ste 690, Sherman Oaks, CA 91411 Phone: 818-900-6480 Fax: 818-900-6488
Laura Marie Cortez, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5651 Sepulveda Blvd Ste 201, Sherman Oaks, CA 91411 Phone: 818-788-2400
Ardene J Cudiamat, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4955 Van Nuys Blvd, Suite 411, Sherman Oaks, CA 91403 Phone: 818-784-7903 Fax: 818-784-7026

Ms Kywina Marie Henderson, FNP, PMHNP-BC - Medicare Nurse Practitioner in Sherman Oaks, CA