Dr Tonya Lynn Hensley, NP - Medicare Nurse Practitioner in Spruce Pine, NC

Dr Tonya Lynn Hensley, NP is a medicare enrolled "Nurse Practitioner - Family" in Spruce Pine, North Carolina. Her current practice location is 167 Locust St Ste 204, Spruce Pine, North Carolina. You can reach out to her office (for appointments etc.) via phone at (828) 201-2790.

Dr Tonya Lynn Hensley is licensed to practice in North Carolina (license number 5004315) 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 1841430659.

Contact Information

Dr Tonya Lynn Hensley, NP
167 Locust St Ste 204,
Spruce Pine, NC 28777-2702
(828) 201-2790
(828) 367-7827

Map and Direction




Provider's Profile

Full NameDr Tonya Lynn Hensley
GenderFemale
SpecialityNurse Practitioner - Family
Location167 Locust St Ste 204, Spruce Pine, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1841430659
  • Provider Enumeration Date: 03/06/2009
  • Last Update Date: 05/27/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9931257409
  • Enrollment ID: I20090511000590

Medical Identifiers

Medical identifiers for Dr Tonya Lynn Hensley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841430659NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 5004315 (North Carolina)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. Dr Tonya Lynn Hensley allows following entities to bill medicare on her behalf.
Entity NameThe Center For Rural Health Innovation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205105491
PECOS PAC ID: 2961863535
Enrollment ID: O20230728001706

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. Dr Tonya Lynn Hensley 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 AddressPractice Location Address
Dr Tonya Lynn Hensley, NP
167 Locust St Ste 204,
Spruce Pine, NC 28777-2702

Ph: (828) 201-2790
Dr Tonya Lynn Hensley, NP
167 Locust St Ste 204,
Spruce Pine, NC 28777-2702

Ph: (828) 201-2790

Reviews and Comments


Nurse Practitioner Nurses in Spruce Pine, NC

Tonya Robinson Bristle, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 174 Summit Ave, Spruce Pine, NC 28777
Phone: 828-520-1572    
Michelle Long,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 11728 S 226 Hwy, Spruce Pine, NC 28777
Phone: 828-765-5672    Fax: 828-765-5676
Dr. Charles Bradley Quillen, DNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 189 Hospital Dr, Spruce Pine, NC 28777
Phone: 828-213-4444    
Mrs. Patricia Susan Noser, CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 12348 South 226 Highway, Spruce Pine, NC 28777
Phone: 828-765-1044    Fax: 828-765-1042
Mrs. Cindy Blackwell Aldridge, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 11728 S 226 Hwy, Spruce Pine, NC 28777
Phone: 828-765-5672    Fax: 828-765-5676
Edward Jay Kauffman,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 125 Hospital Dr, Spruce Pine, NC 28777
Phone: 828-765-4201    
Sandy Aubrey Lusk, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 236 Hospital Dr, Spruce Pine, NC 28777
Phone: 828-765-5677    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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