Dr Eva Mae Henderson, MD - Medicare Pediatrics in Jackson, MS

Dr Eva Mae Henderson, MD is a medicare enrolled "Pediatrics" physician in Jackson, Mississippi. Her current practice location is 350 W Woodrow Wilson Ave, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 709-5150.

Dr Eva Mae Henderson is licensed to practice in Mississippi (license number 10119) 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 1033146725.

Contact Information

Dr Eva Mae Henderson, MD
350 W Woodrow Wilson Ave,
Jackson, MS 39213-7681
(601) 709-5150
(601) 709-5151



Physician's Profile

Full NameDr Eva Mae Henderson
GenderFemale
SpecialityPediatrics
Location350 W Woodrow Wilson Ave, Jackson, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033146725
  • Provider Enumeration Date: 06/27/2006
  • Last Update Date: 06/06/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 5890867741
  • Enrollment ID: I20080709000418

Medical Identifiers

Medical identifiers for Dr Eva Mae Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033146725NPI-NPPES
1692743MedicaidLA
00116298MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 10119 (Mississippi)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 Eva Mae Henderson allows following entities to bill medicare on her behalf.
Entity NameCentral Mississippi Civic Improvement Association, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134151442
PECOS PAC ID: 4183533235
Enrollment ID: O20040128000125

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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. Dr Eva Mae 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
Dr Eva Mae Henderson, MD
Po Box 3437,
Jackson, MS 39207-3437

Ph: (601) 362-5321
Dr Eva Mae Henderson, MD
350 W Woodrow Wilson Ave,
Jackson, MS 39213-7681

Ph: (601) 709-5150

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Pediatrics Doctors in Jackson, MS

Lauren K Tucker, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-5260    Fax: 601-984-2652
Kavipriya Komeswaran,
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-815-2005    Fax: 601-815-0434
Emily S Weber, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-4520    Fax: 601-984-5982
Mr. Marcelo Eduardo Rains, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2500 North State Street, Ummc Neonatology, Jackson, MS 39216
Phone: 601-984-1000    
Sitesh Ranen Roy, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-5249    
Dr. Kathryn R Farrell, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 5 River Bend Pl, Suite C, Jackson, MS 39232
Phone: 601-957-7345    Fax: 769-251-5429

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