David J Henderson, MD - Medicare Urology in Bountiful, UT

David J Henderson, MD is a medicare enrolled "Urology" physician in Bountiful, Utah. He went to University Of Utah School Of Medicine and graduated in 1975 and has 49 years of diverse experience with area of expertise as Urology. He is a member of the group practice Lakeview Urology And General Surgery Llc and his current practice location is 620 Medical Dr Ste 150, Bountiful, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 298-3247.

David J Henderson is licensed to practice in Utah (license number 1593801205) 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 1417933284.

Contact Information

David J Henderson, MD
620 Medical Dr Ste 150,
Bountiful, UT 84010-5085
(801) 298-3247
(801) 298-9675



Physician's Profile

Full NameDavid J Henderson
GenderMale
SpecialityUrology
Experience49 Years
Location620 Medical Dr Ste 150, Bountiful, Utah
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:
  • David J Henderson attended and graduated from University Of Utah School Of Medicine in 1975
  NPI Data:
  • NPI Number: 1417933284
  • Provider Enumeration Date: 12/22/2005
  • Last Update Date: 02/09/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7618994195
  • Enrollment ID: I20051025000474

Medical Identifiers

Medical identifiers for David J Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417933284NPI-NPPES
05356MedicaidUT
1518109032MedicaidUT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 1593801205 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lakeview HospitalBountiful, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lakeview Urology And General Surgery Llc83251986902

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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. David J Henderson allows following entities to bill medicare on his behalf.
Entity NameLakeview Urology & General Surgery Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518109032
PECOS PAC ID: 8325198690
Enrollment ID: O20090608000263

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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. David J 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
David J Henderson, MD
Po Box 405831,
Atlanta, GA 30384-5831

Ph: () -
David J Henderson, MD
620 Medical Dr Ste 150,
Bountiful, UT 84010-5085

Ph: (801) 298-3247

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Urology Doctors in Bountiful, UT

Mr. Perry T Walters, MD
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 425 Medical Dr, Suite 112, Bountiful, UT 84010
Phone: 801-292-7249    Fax: 801-292-7251
Justin Paul Parkinson, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1551 Renaissance Towne Dr, Suite 370, Bountiful, UT 84010
Phone: 801-965-3600    

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