Sandra M Henderson, FNP in Johnson City, TN - Medicare Nurse Practitioner

Sandra M Henderson, FNP is a medicare enrolled "Nurse Practitioner - Family" in Johnson City, Tennessee. She went to East Tennessee State University Quillen College Of Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Tricities Skin And Cancer. and her current practice location is 1627 Old Gray Station Rd, Johnson City, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 282-3376.

Sandra M Henderson is licensed to practice in Tennessee (license number 21628) 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 1033664503.

Contact Information

	Sandra M Henderson, FNP
	1627 Old Gray Station Rd, Johnson City, TN 37615-4193
	(423) 282-3376
	(423) 791-8388

Map and Direction

Provider's Profile

Full Name	Sandra M Henderson
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	1627 Old Gray Station Rd, Johnson City, Tennessee
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Sandra M Henderson attended and graduated from East Tennessee State University Quillen College Of Medicine in 2016

NPI Data:

NPI Number: 1033664503
Provider Enumeration Date: 08/24/2016
Last Update Date: 07/26/2023

Medicare PECOS Information:

PECOS PAC ID: 6002242740
Enrollment ID: I20200129000059

Medical Identifiers

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

Identifier	Type	State	Issuer
1033664503	NPI	-	NPPES
Q044000	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	21628 (Tennessee)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Tricities Skin And Cancer.	8527031954	12

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. Sandra M Henderson allows following entities to bill medicare on her behalf.

Entity Name	Tricities Skin And Cancer.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295824415 PECOS PAC ID: 8527031954 Enrollment ID: O20040814000228

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. Sandra M 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
Sandra M Henderson, FNP 1627 Old Gray Station Rd, Johnson City, TN 37615-4193 Ph: (423) 282-3376	Sandra M Henderson, FNP 1627 Old Gray Station Rd, Johnson City, TN 37615-4193 Ph: (423) 282-3376

Reviews and Comments

Nurse Practitioner Nurses in Johnson City, TN

Amber Ramsey, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615 Phone: 423-282-1480 Fax: 423-928-1353
Connie T Rutledge, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 Med Tech Pkwy Ste 240, Johnson City, TN 37604 Phone: 423-794-5520 Fax: 423-282-6940
Charity Helton, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 325 N. State Of Franklin Road, Ground Fl, Johnson City, TN 37604 Phone: 423-439-7320
Meghan Marie Hollier, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1018 Chase Dr, Johnson City, TN 37604 Phone: 423-282-3379 Fax: 423-430-6227
Michael David Smith, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3019 Peoples St # Condo300, Johnson City, TN 37604 Phone: 423-461-2100 Fax: 423-461-2199
Shelly J Mcintosh, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 301 Med Tech Pkwy, Suite 240, Johnson City, TN 37604 Phone: 423-794-5520 Fax: 423-282-0720
Miss Samantha Manuel I, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1021 W Oakland Ave, Suite 301, Johnson City, TN 37604 Phone: 423-952-8000 Fax: 423-952-8001

Sandra M Henderson, FNP - Medicare Nurse Practitioner in Johnson City, TN