Regina Marie Henderson, is a medicare enrolled "Nurse Practitioner - Family" in Callaway, Florida. 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 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 1144023797.
Provider's Profile
| Full Name | Regina Marie Henderson |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 626 N Tyndall Pkwy, Callaway, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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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 |
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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