Mitzi Henderson, LCSW - Medicare Clinical Social Worker in Russellville, AR

Mitzi Henderson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Russellville, Arkansas. She graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Friendship Community Care Inc and her current practice location is 500 W Main St Ste 302, Russellville, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 264-0606.

Mitzi Henderson is licensed to practice in Arkansas (license number 7671-C) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1366877623.

Contact Information

Mitzi Henderson, LCSW
500 W Main St Ste 302,
Russellville, AR 72801-3630
(479) 264-0606
Not Available



Healthcare Provider's Profile

Full NameMitzi Henderson
GenderFemale
SpecialityClinical Social Worker
Experience9 Years
Location500 W Main St Ste 302, Russellville, Arkansas
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mitzi Henderson graduated from medical school in 2015
  NPI Data:
  • NPI Number: 1366877623
  • Provider Enumeration Date: 09/05/2013
  • Last Update Date: 09/08/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7315355427
  • Enrollment ID: I20210408002625

Medical Identifiers

Medical identifiers for Mitzi Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366877623NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 7671-C (Arkansas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Friendship Community Care Inc933546349615

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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. Mitzi Henderson allows following entities to bill medicare on her behalf.
Entity NameFriendship Community Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528144318
PECOS PAC ID: 9335463496
Enrollment ID: O20150120000780

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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. Mitzi 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 AddressPractice Location Address
Mitzi Henderson, LCSW
500 W Main St Ste 302,
Russellville, AR 72801-3630

Ph: (479) 264-0606
Mitzi Henderson, LCSW
500 W Main St Ste 302,
Russellville, AR 72801-3630

Ph: (479) 264-0606

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Social Worker in Russellville, AR

Tessa Riffell, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 110 Skyline Drive, Russellville, AR 72801
Phone: 479-968-1298    Fax: 479-968-6053
Audra Renae Prince, MSW LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 701 E Main St, Suite 3, Russellville, AR 72801
Phone: 479-498-6700    
Danielle Beth Beck, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 110 Skyline Dr, Russellville, AR 72801
Phone: 479-967-5570    Fax: 479-890-5364
Tracy L Baxley Tullos, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 3106 W 2nd Ct, Suite 1, Russellville, AR 72801
Phone: 479-880-5100    Fax: 479-880-5297
Mrs. Florence R Duffee, LMSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 2504 W Main St Ste C, Russellville, AR 72801
Phone: 479-967-2024    Fax: 479-967-9203
Mrs. Sandra Jean Mathes, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 210 N Shamrock Blvd, Russellville, AR 72802
Phone: 501-303-3105    
Jennifer Lee Goodman, LMSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 110 Skyline Dr, Russellville, AR 72801
Phone: 479-967-5570    Fax: 479-890-5364

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