Johnny (blaine) Henderson, MD - Medicare Psychiatry in Flagstaff, AZ

Johnny (blaine) Henderson, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Flagstaff, Arizona. He went to Texas Tech University Health Science Center School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Northern Arizona Healthcare Corporation and his current practice location is 1200 N Beaver St, Flagstaff, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 213-6415.

Johnny (blaine) Henderson is licensed to practice in Arizona (license number 48599) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1659492627.

Contact Information

Johnny (blaine) Henderson, MD
1200 N Beaver St,
Flagstaff, AZ 86001-3118
(928) 213-6415
(928) 213-6409



Physician's Profile

Full NameJohnny (blaine) Henderson
GenderMale
SpecialityPsychiatry
Experience19 Years
Location1200 N Beaver St, Flagstaff, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Johnny (blaine) Henderson attended and graduated from Texas Tech University Health Science Center School Of Medicine in 2005
  NPI Data:
  • NPI Number: 1659492627
  • Provider Enumeration Date: 04/03/2007
  • Last Update Date: 12/18/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 1658444096
  • Enrollment ID: I20140430001464

Medical Identifiers

Medical identifiers for Johnny (blaine) Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659492627NPI-NPPES
879791MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 48599 (Arizona)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northern Arizona Healthcare Corporation3577473362370

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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. Johnny (blaine) Henderson allows following entities to bill medicare on his behalf.
Entity NameNorthern Arizona Healthcare Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669914552
PECOS PAC ID: 3577473362
Enrollment ID: O20170801003409

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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. Johnny (blaine) 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
Johnny (blaine) Henderson, MD
1200 N Beaver St, Payer Credentialing,
Flagstaff, AZ 86001-3118

Ph: (928) 773-2559
Johnny (blaine) Henderson, MD
1200 N Beaver St,
Flagstaff, AZ 86001-3118

Ph: (928) 213-6415

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Psychiatry & Neurology Doctors in Flagstaff, AZ

Dr. Thomas J Gaughan, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001
Phone: 928-213-6411    
Dr. Adam Graff, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001
Phone: 928-213-6415    Fax: 928-213-6409
Dr. Sara Faith Gibson, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1300 S Yale St, Flagstaff, AZ 86001
Phone: 928-774-7128    
Dr. Mary L Delduca, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 1515 N San Francisco St, Flagstaff, AZ 86001
Phone: 928-774-1538    Fax: 928-774-2801
Matthew Alan Bond, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001
Phone: 928-213-6415    
Dr. Travis Clark Stiegler, D.O.
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 1501 S Yale St, Ste 250, Flagstaff, AZ 86001
Phone: 928-556-0707    Fax: 928-779-2223
Alyssa Norman, MD
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001
Phone: 928-213-6415    

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