Raquel Marie Henderson, PA-C in San Bernardino, CA

Raquel Marie Henderson, PA-C is a medicare enrolled "Physician Assistant - Medical" in San Bernardino, California. Her current practice location is 850 W Highland Ave Ste A, San Bernardino, California. You can reach out to her office (for appointments etc.) via phone at (909) 886-7576.

Raquel Marie Henderson is licensed to practice in * (Not Available) (license number ) 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 1770597809.

Contact Information

	Raquel Marie Henderson, PA-C
	850 W Highland Ave Ste A, San Bernardino, CA 92405-3855
	(909) 886-7576
	Not Available

Map and Direction

Provider's Profile

Full Name	Raquel Marie Henderson
Gender	Female
Speciality	Physician Assistant - Medical
Location	850 W Highland Ave Ste A, San Bernardino, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770597809
Provider Enumeration Date: 07/27/2006
Last Update Date: 11/20/2023

Medicare PECOS Information:

PECOS PAC ID: 8921222134
Enrollment ID: I20140609002271

Medical Identifiers

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

Identifier	Type	State	Issuer
1770597809	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	(* (Not Available))	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. Raquel Marie Henderson allows following entities to bill medicare on her behalf.

Entity Name	Timothy J Ferguson Md Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831346592 PECOS PAC ID: 3678620366 Enrollment ID: O20090415000522

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. Raquel 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
Raquel Marie Henderson, PA-C 850 W Highland Ave Ste A, San Bernardino, CA 92405-3855 Ph: (909) 886-7576	Raquel Marie Henderson, PA-C 850 W Highland Ave Ste A, San Bernardino, CA 92405-3855 Ph: (909) 886-7576

Reviews and Comments

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Raquel Marie Henderson, PA-C - Medicare Physician Assistant in San Bernardino, CA