Reanna Henderson, in Hattiesburg, MS - Medicare Nurse Practitioner

Reanna Henderson, is a medicare enrolled "Nurse Practitioner" in Hattiesburg, Mississippi. Her current practice location is 34 Roundtree, Hattiesburg, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 917-6269.

Reanna Henderson is licensed to practice in Mississippi (license number 905754) 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 1053027581.

Contact Information

	Reanna Henderson,
	34 Roundtree, Hattiesburg, MS 39402-7045
	(601) 917-6269
	Not Available

Map and Direction

Provider's Profile

Full Name	Reanna Henderson
Gender	Female
Speciality	Nurse Practitioner
Location	34 Roundtree, Hattiesburg, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053027581
Provider Enumeration Date: 01/27/2023
Last Update Date: 01/27/2023

Medicare PECOS Information:

PECOS PAC ID: 1759746753
Enrollment ID: I20230426001918

Medical Identifiers

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

Identifier	Type	State	Issuer
1053027581	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	905754 (Mississippi)	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. Reanna Henderson allows following entities to bill medicare on her behalf.

Entity Name	Family Health Care Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043236326 PECOS PAC ID: 5395656946 Enrollment ID: O20040831001179

Entity Name	Fast Pace Mississippi Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447769559 PECOS PAC ID: 3678832029 Enrollment ID: O20180111000291

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. Reanna 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
Reanna Henderson, 34 Roundtree, Hattiesburg, MS 39402-7045 Ph: () -	Reanna Henderson, 34 Roundtree, Hattiesburg, MS 39402-7045 Ph: (601) 917-6269

Reviews and Comments

Nurse Practitioner Nurses in Hattiesburg, MS

Mrs. Lisa Deloris Slade, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 605 Stadium Dr, Hattiesburg, MS 39401 Phone: 601-450-0310 Fax: 601-450-0321
Lyndell Sue Lee, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6051 Highway 49, Hattiesburg, MS 39401 Phone: 601-288-7000
Ms. Laura Claire Singley, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 62 Old Airport Rd, Hattiesburg, MS 39401 Phone: 601-544-4500
Kisha L Knight, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 404 Lillie Burney St, Hattiesburg, MS 39401 Phone: 601-450-6500 Fax: 601-450-6503
Melissa Ruth Tolar, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6051 U S Highway 49, Hattiesburg, MS 39401 Phone: 601-288-1212
Miss Felicia Nicole Smith, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 58 Hawthorne Dr, Hattiesburg, MS 39402 Phone: 662-315-0755
Mrs. Kristen Sentell, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-288-1700

Reanna Henderson, - Medicare Nurse Practitioner in Hattiesburg, MS