| Regina Marie Henderson, | |
|
626 N Tyndall Pkwy, Callaway, FL 32404-6132 | |
| (850) 871-6363 | |
| Not Available |
| Full Name | Regina Marie Henderson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 626 N Tyndall Pkwy, Callaway, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144023797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN11038497 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension Sacred Heart Bay | Panama city, FL | Hospital |
| Hca Florida Gulf Coast Hospital | Panama city, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ocala Oncology Center Pl | 6901950856 | 23 |
| Mana Health Partners Pa | 3971952813 | 102 |
| Entity Name | Ocala Oncology Center Pl |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356300958 PECOS PAC ID: 6901950856 Enrollment ID: O20090812000516 |
| Entity Name | Mana Health Partners PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437925047 PECOS PAC ID: 3971952813 Enrollment ID: O20231218001517 |
| Mailing Address | Practice Location Address |
|---|---|
| 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 |
Maria Wright Hobbs, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 524 N Tyndall Pkwy, Callaway, FL 32404 Phone: 850-250-2805 |
Haley Howard, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 626 N Tyndall Pkwy, Callaway, FL 32404 Phone: 850-871-6363 |