Dr Lisa Mellisa Greene Henderson, PSYD in Suitland, MD

Dr Lisa Mellisa Greene Henderson, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Suitland, Maryland. Her current practice location is 5100 Auth Way, Kaiser Permanente Marlow Heights Medical Center, Suitland, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 702-5000.

Dr Lisa Mellisa Greene Henderson is licensed to practice in Maryland (license number 04392) 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 1497945034.

Contact Information

	Dr Lisa Mellisa Greene Henderson, PSYD
	5100 Auth Way, Kaiser Permanente Marlow Heights Medical Center, Suitland, MD 20746-4207
	(301) 702-5000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Lisa Mellisa Greene Henderson
Gender	Female
Speciality	Psychologist - Clinical
Location	5100 Auth Way, Suitland, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497945034
Provider Enumeration Date: 07/30/2007
Last Update Date: 06/02/2021

Medicare PECOS Information:

PECOS PAC ID: 6608050919
Enrollment ID: I20110412000295

Medical Identifiers

Medical identifiers for Dr Lisa Mellisa Greene Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497945034	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY1000375 (District Of Columbia)	Secondary
103TC0700X	Psychologist - Clinical	04392 (Maryland)	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 Lisa Mellisa Greene Henderson allows following entities to bill medicare on her behalf.

Entity Name	Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952461816 PECOS PAC ID: 3779495858 Enrollment ID: O20040105000308

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 Lisa Mellisa Greene 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
Dr Lisa Mellisa Greene Henderson, PSYD 2101 E Jefferson St, Kaiser Permanente Medicare Enrollment, Rockville, MD 20852-4908 Ph: (301) 816-2424	Dr Lisa Mellisa Greene Henderson, PSYD 5100 Auth Way, Kaiser Permanente Marlow Heights Medical Center, Suitland, MD 20746-4207 Ph: (301) 702-5000

Reviews and Comments

Psychologist in Suitland, MD

Dr. Andi Liti, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2819 Toles Park Dr, Suitland, MD 20746 Phone: 301-655-4029
Dr. Marie A. Minor, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5100 Auth Way, Suitland, MD 20746 Phone: 301-702-5145 Fax: 301-702-5166
Marcus Tavell Heath Sr., Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3603 Silver Park Dr Apt 303, Suitland, MD 20746 Phone: 202-705-2169

Dr Lisa Mellisa Greene Henderson, PSYD - Medicare Psychologist in Suitland, MD