Dr Jerry Paul Henderson, DO - Medicare Emergency Medicine in Wyoming, MI

Dr Jerry Paul Henderson, DO is a medicare enrolled "Emergency Medicine" physician in Wyoming, Michigan. He went to West Virginia School Of Osteopathic Medicine and graduated in 2018 and has 6 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Camden Emergency Group Llc and his current practice location is 5900 Byron Center Ave Sw, Wyoming, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 252-7604.

Dr Jerry Paul Henderson is licensed to practice in Missouri (license number 2021016736) 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 1245725977.

Contact Information

Dr Jerry Paul Henderson, DO
5900 Byron Center Ave Sw,
Wyoming, MI 49519-9606
(616) 252-7604
Not Available



Physician's Profile

Full NameDr Jerry Paul Henderson
GenderMale
SpecialityEmergency Medicine
Experience6 Years
Location5900 Byron Center Ave Sw, Wyoming, Michigan
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:
  • Dr Jerry Paul Henderson attended and graduated from West Virginia School Of Osteopathic Medicine in 2018
  NPI Data:
  • NPI Number: 1245725977
  • Provider Enumeration Date: 06/26/2018
  • Last Update Date: 07/28/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9638425648
  • Enrollment ID: I20210730001585

Medical Identifiers

Medical identifiers for Dr Jerry Paul Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245725977NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 510123790 (Michigan)Secondary
207P00000XEmergency Medicine 2021016736 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lake Regional Health SystemOsage beach, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Camden Emergency Group Llc296166536915

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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. Dr Jerry Paul Henderson allows following entities to bill medicare on his behalf.
Entity NameCamden Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003181637
PECOS PAC ID: 2961665369
Enrollment ID: O20120523000037

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Entity NameRipley Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720606023
PECOS PAC ID: 1254757446
Enrollment ID: O20200819000175

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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. Dr Jerry Paul 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
Dr Jerry Paul Henderson, DO
5900 Byron Center Ave Sw,
Wyoming, MI 49519-9606

Ph: (616) 252-7604
Dr Jerry Paul Henderson, DO
5900 Byron Center Ave Sw,
Wyoming, MI 49519-9606

Ph: (616) 252-7604

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› Verified 4 days ago


Emergency Medicine Doctors in Wyoming, MI

Dr. John S Bradley, D.O.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 5900 Byron Center Sw, Metro Health Hospital, Wyoming, MI 49519
Phone: 616-363-7123    
Dr. Daniel Hearld, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5900 Byron Center Ave Sw, Metro Health Hospital, Wyoming, MI 49519
Phone: 616-363-7867    Fax: 616-363-9432
Dr. Adam Passeno, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5900 Byron Center Sw, Metro Health Hospital, Wyoming, MI 49519
Phone: 616-252-7123    
Dr. Dana Danielle Hop, D.O
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519
Phone: 616-252-7200    
Dr. Jennifer Gail Collins, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519
Phone: 616-252-7200    
Dr. Joshua Vansluyters, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519
Phone: 616-252-7200    
Dr. Anil Kumar Pillay, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519
Phone: 616-252-7419    Fax: 616-252-0133

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