Shannon Henderson, NP in Medford, OR - Medicare Nurse Practitioner

Shannon Henderson, NP is a medicare enrolled "Nurse Practitioner" in Medford, Oregon. She graduated from nursing school in 2012 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Asante, Asante Ashland Community Hospital Llc, Asante Three Rivers Medical Center Llc and her current practice location is 520 Medical Center Dr Ste 201, Medford, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 789-5711.

Shannon Henderson is licensed to practice in Oregon (license number 202004735NP-PP) 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 1740532480.

Contact Information

	Shannon Henderson, NP
	520 Medical Center Dr Ste 201, Medford, OR 97504-4334
	(541) 789-5711
	(541) 789-5710

Map and Direction

Provider's Profile

Full Name	Shannon Henderson
Gender	Female
Speciality	Nurse Practitioner
Experience	14 Years
Location	520 Medical Center Dr Ste 201, Medford, Oregon
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:

Shannon Henderson graduated from nursing school in 2012

NPI Data:

NPI Number: 1740532480
Provider Enumeration Date: 10/04/2012
Last Update Date: 06/17/2020

Medicare PECOS Information:

PECOS PAC ID: 0547410045
Enrollment ID: I20200721002867

Medical Identifiers

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

Identifier	Type	State	Issuer
1740532480	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	5009257 (North Carolina)	Secondary
363L00000X	Nurse Practitioner	202004735NP-PP (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Asante Rogue Regional Medical Center	Medford, OR	Hospital
Asante Three Rivers Medical Center	Grants pass, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Asante	0547177321	113
Asante Ashland Community Hospital Llc	7012286859	34
Asante Three Rivers Medical Center Llc	9931197993	84

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. Shannon Henderson allows following entities to bill medicare on her behalf.

Entity Name	Asante
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770587107 PECOS PAC ID: 0547177321 Enrollment ID: O20031219000238

Entity Name	Asante Three Rivers Medical Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801891809 PECOS PAC ID: 9931197993 Enrollment ID: O20040506000367

Entity Name	Asante Physician Partners
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922381326 PECOS PAC ID: 8325206246 Enrollment ID: O20120223000671

Entity Name	Asante Ashland Community Hospital Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730628827 PECOS PAC ID: 7012286859 Enrollment ID: O20180426001620

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. Shannon 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
Shannon Henderson, NP Po Box 748157, Los Angeles, CA 90074-8157 Ph: () -	Shannon Henderson, NP 520 Medical Center Dr Ste 201, Medford, OR 97504-4334 Ph: (541) 789-5711

Reviews and Comments

Nurse Practitioner Nurses in Medford, OR

Carla Ann Cochran, NP-C, FNP, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 555 Black Oak Dr., Suite 300, Medford, OR 97504 Phone: 903-463-0003
Christine Ann Stanek, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2859 State Street, Suite 101, Medford, OR 97504 Phone: 541-282-6505 Fax: 541-282-6520
Lena Lori Varner, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 520 Medical Center Dr Ste 300, Medford, OR 97504 Phone: 541-930-8907 Fax: 541-245-4820
Jessica Faith Yeager Akram, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2860 Creekside Cir, Medford, OR 97504 Phone: 541-779-8367
Mrs. Lauren E Hodgdon, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1698 E Mcandrews Rd Ste 200, Medford, OR 97504 Phone: 541-732-5537
Kaitlin Eileen Stapleton, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3270 Hillcrest Road, Medford, OR 97504 Phone: 541-779-1672
Elizabeth L Pethtel, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3170 State St, Medford, OR 97504 Phone: 541-864-8900 Fax: 541-245-3315

Shannon Henderson, NP - Medicare Nurse Practitioner in Medford, OR