Regina Marie Henderson, is a medicare enrolled "Nurse Practitioner - Family" in Callaway, Florida. She graduated from nursing school in 2024 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mana Health Partners Pa and her current practice location is
626 N Tyndall Pkwy, Callaway, Florida. You can reach out to her office (for appointments etc.) via phone at
(850) 871-6363.
Regina Marie Henderson is licensed to practice in Florida (license number APRN11038497) 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 1144023797.
Provider's Profile
| Full Name | Regina Marie Henderson |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 1 Years |
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| Location | 626 N Tyndall Pkwy, Callaway, Florida |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Regina Marie Henderson graduated from nursing school in 2024
NPI Data:
- NPI Number: 1144023797
- Provider Enumeration Date: 03/29/2025
- Last Update Date: 03/29/2025
Medicare PECOS Information:
- PECOS PAC ID: 3173049293
- Enrollment ID: I20250501000102
Medical Identifiers
Medical identifiers for Regina Marie Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1144023797 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | APRN11038497 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Mana Health Partners Pa | 3971952813 | 67 |
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. Regina Marie Henderson allows following entities to bill medicare on her behalf.
| Entity Name | Mana Health Partners Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437925047
PECOS PAC ID: 3971952813
Enrollment ID: O20231218001517 |
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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. Regina 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 |
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Regina Marie Henderson,
2400 Maple Ct,
Panama City, FL 32404-3047
Ph: (850) 814-3309 | Regina Marie Henderson,
626 N Tyndall Pkwy,
Callaway, FL 32404-6132
Ph: (850) 871-6363 |
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