Nicolette Henderson, PA-C - Medicare Physician Assistant in Stow, OH

Nicolette Henderson, PA-C is a medicare enrolled "Physician Assistant" in Stow, Ohio. Her current practice location is 4012 Vira Rd, Stow, Ohio. You can reach out to her office (for appointments etc.) via phone at (330) 389-4057.

Nicolette Henderson is licensed to practice in Ohio (license number 50.007582) 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 1174253058.

Contact Information

Nicolette Henderson, PA-C
4012 Vira Rd,
Stow, OH 44224-3637
(330) 389-4057
Not Available



Provider's Profile

Full NameNicolette Henderson
GenderFemale
SpecialityPhysician Assistant
Location4012 Vira Rd, Stow, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174253058
  • Provider Enumeration Date: 06/14/2022
  • Last Update Date: 06/14/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8527436559
  • Enrollment ID: I20221123001583

Medical Identifiers

Medical identifiers for Nicolette Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174253058NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 50.007582 (Ohio)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. Nicolette 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
Nicolette Henderson, PA-C
4012 Vira Rd,
Stow, OH 44224-3637

Ph: () -
Nicolette Henderson, PA-C
4012 Vira Rd,
Stow, OH 44224-3637

Ph: (330) 389-4057

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› Verified 4 days ago


Physician Assistant Nurses in Stow, OH

Colleen E Fairhurst, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4275 Steels Pointe, Stow, OH 44224
Phone: 330-926-3495    Fax: 330-926-5864
Megan Widener, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4302 Allen Rd, #210, Stow, OH 44224
Phone: 330-344-7820    
Carrie A Leister, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4465 Darrow Rd, Ste 100, Stow, OH 44224
Phone: 330-688-9918    Fax: 330-688-6338
Amanda Kathleen Barile, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4302 Allen Rd Ste 210, Stow, OH 44224
Phone: 330-344-7280    
Sandra Sadid, PAC
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4302 Allen Rd Ste 300, Stow, OH 44224
Phone: 330-945-7246    Fax: 330-945-9920

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