Mr David B Henderson, PA in Fayetteville, NC - Medicare Physician Assistant

Mr David B Henderson, PA is a medicare enrolled "Physician Assistant" physician in Fayetteville, North Carolina. His current practice location is 1638 Owen Dr, Fayetteville, North Carolina. You can reach out to his office (for appointments etc.) via phone at (910) 609-4000.

Mr David B Henderson is licensed to practice in North Carolina (license number 100436) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1184615239.

Contact Information

	Mr David B Henderson, PA
	1638 Owen Dr, Fayetteville, NC 28304-3424
	(910) 609-4000
	Not Available

Physician's Profile

Full Name	Mr David B Henderson
Gender	Male
Speciality	Physician Assistant
Location	1638 Owen Dr, Fayetteville, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184615239
Provider Enumeration Date: 10/28/2005
Last Update Date: 07/12/2016

Medicare PECOS Information:

PECOS PAC ID: 1759602881
Enrollment ID: I20150602000475

Medical Identifiers

Medical identifiers for Mr David B Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184615239	NPI	-	NPPES
1184615239	Other		TRICARE
1184615239	Medicaid	SC
10436	Other	NC	NORTH CAROLINA LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080A0000X	Pediatrics - Adolescent Medicine	100436 (North Carolina)	Secondary
363A00000X	Physician Assistant	100436 (North Carolina)	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. Mr David B 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 Address	Practice Location Address
Mr David B Henderson, PA Po Box 40908, Attn: Managed Care Planning, Fayetteville, NC 28309-0908 Ph: (910) 615-6949	Mr David B Henderson, PA 1638 Owen Dr, Fayetteville, NC 28304-3424 Ph: (910) 609-4000

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Mr David B Henderson, PA - Medicare Physician Assistant in Fayetteville, NC