Stephanie Henderson, in Texarkana, TX - Medicare Nurse Practitioner

Stephanie Henderson, is a medicare enrolled "Nurse Practitioner - Family" in Texarkana, Texas. Her current practice location is 5904 Summerfield Dr, Texarkana, Texas. You can reach out to her office (for appointments etc.) via phone at (430) 200-4350.

Stephanie Henderson is licensed to practice in Texas (license number 1143087) 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 1578330254.

Contact Information

	Stephanie Henderson,
	5904 Summerfield Dr, Texarkana, TX 75503-4306
	(430) 200-4350
	(866) 337-1615

Map and Direction

Provider's Profile

Full Name	Stephanie Henderson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	5904 Summerfield Dr, Texarkana, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578330254
Provider Enumeration Date: 12/04/2023
Last Update Date: 12/04/2023

Medicare PECOS Information:

PECOS PAC ID: 7012369994
Enrollment ID: I20240116003254

Medical Identifiers

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

Identifier	Type	State	Issuer
1578330254	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1143087 (Texas)	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. Stephanie Henderson allows following entities to bill medicare on her behalf.

Entity Name	Primamed Physicians, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164494068 PECOS PAC ID: 9234027897 Enrollment ID: O20040316000446

Entity Name	Hopkins Minor Emergency Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033405428 PECOS PAC ID: 3173790508 Enrollment ID: O20120125000442

Entity Name	Midsouth Transitions Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790262681 PECOS PAC ID: 8628322831 Enrollment ID: O20181106002557

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. Stephanie 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
Stephanie Henderson, 6905 Champion Ct, Greenville, TX 75402-8008 Ph: () -	Stephanie Henderson, 5904 Summerfield Dr, Texarkana, TX 75503-4306 Ph: (430) 200-4350

Reviews and Comments

Nurse Practitioner Nurses in Texarkana, TX

Sally A Thompson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3515 Richmond Rd, Texarkana, TX 75503 Phone: 903-791-9355 Fax: 903-831-7273
Virginia Ann Parker, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3000 Fax: 903-614-3525
Ms. Marla Kay English-pickett, GNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16060 Broadleaf, Texarkana, TX 75503 Phone: 903-838-0031
Laura L Jackson, APRN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3000 Fax: 903-614-3525
Caleb Cain, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3510 Richmond Rd, Texarkana, TX 75503 Phone: 903-614-5220 Fax: 903-614-5229
Ms. Michelle Cheri Craft, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3002 Moores Ln, Texarkana, TX 75503 Phone: 430-200-4350 Fax: 833-491-2722
Jamie G Dodd, AGACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5904 Summerfield Dr, Texarkana, TX 75503 Phone: 430-200-4350 Fax: 866-337-1615

Stephanie Henderson, - Medicare Nurse Practitioner in Texarkana, TX