Henderson Hospital LLC

A Medicare group practice based in Tyler, TX: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 4789946054), with 20 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4789946054The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
TX
Enrollments
3
Group size
11 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
6In 2 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20180326002460 TX Part B Supplier - Clinic/Group Practice 1043710437
O20180504000987 TX Part A Provider - Rural Health Clinic 1952800310
O20180515000293 TX Part A Provider - Hospital 1326546797

NPIs in this group 4

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 20

Clinicians who reassign their Medicare benefits to this group (11) or whom Care Compare lists as members (11).

Sources for this page