Mrs Kolleen Obannon Henderson, NP - Medicare Obstetrics & Gynecology in Glendale, CA

Mrs Kolleen Obannon Henderson, NP is a medicare enrolled "Obstetrics & Gynecology" physician in Glendale, California. Her current practice location is 3469 N Verdugo Rd, Glendale, California. You can reach out to her office (for appointments etc.) via phone at (818) 249-6636.

Mrs Kolleen Obannon Henderson is licensed to practice in California (license number 350799) 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 1215027206.

Contact Information

Mrs Kolleen Obannon Henderson, NP
3469 N Verdugo Rd,
Glendale, CA 91208
(818) 249-6636
(818) 249-5074



Physician's Profile

Full NameMrs Kolleen Obannon Henderson
GenderFemale
SpecialityObstetrics & Gynecology
Location3469 N Verdugo Rd, Glendale, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1215027206
  • Provider Enumeration Date: 10/13/2006
  • Last Update Date: 06/07/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 4082853643
  • Enrollment ID: I20130612000389

Medical Identifiers

Medical identifiers for Mrs Kolleen Obannon Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215027206NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 350799 (California)Primary

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. Mrs Kolleen Obannon 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
Mrs Kolleen Obannon Henderson, NP
3469 N Verdugo Rd,
Glendale, CA 91208

Ph: (818) 249-6636
Mrs Kolleen Obannon Henderson, NP
3469 N Verdugo Rd,
Glendale, CA 91208

Ph: (818) 249-6636

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Obstetrics & Gynecology Doctors in Glendale, CA

Dr. Rodolfo Quintero, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 1500 E Chevy Chase Dr Ste 450, Glendale, CA 91206
Phone: 818-230-7778    Fax: 818-484-2424
Selena Anne Lantry, M.D,
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1505 Wilson Ter Ste 130, Glendale, CA 91206
Phone: 818-247-2164    Fax: 818-545-0842
Dr. Samantha Hye Jung Han, M.D.
Obstetrics & Gynecology
Medicare: May Accept Medicare Assignments
Practice Location: 1505 Wilson Ter Ste 160, Glendale, CA 91206
Phone: 188-243-3140    Fax: 818-243-3158
Michael Frields, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1505 Wilson Terrace, Suite 130, Glendale, CA 91206
Phone: 818-247-1476    Fax: 818-545-0842
Dr. Shivani Shah, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 777 Flower St Ste A, Glendale, CA 91201
Phone: 818-637-2000    Fax: 818-242-8761
Dr. Marcia Amelia Ciccone, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1808 Verdugo Blvd Ste 413, Glendale, CA 91208
Phone: 818-658-5980    Fax: 323-865-0062
Ms. Nathalie Nguyen, D.O.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1505 Wilson Ter Ste 130, Glendale, CA 91206
Phone: 818-409-8215    

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