Ralph Jonathan Henderson, MD - Medicare Urology in Shreveport, LA

Ralph Jonathan Henderson, MD is a medicare enrolled "Urology" physician in Shreveport, Louisiana. He went to Louisiana State University School Of Medicine In Shreveport and graduated in 1991 and has 33 years of diverse experience with area of expertise as Urology. He is a member of the group practice Arkansas Urology, P.a. and his current practice location is 255 Bert Kouns, Shreveport, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 683-0411.

Ralph Jonathan Henderson is licensed to practice in Louisiana (license number 021340) 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 1164427621.

Contact Information

Ralph Jonathan Henderson, MD
255 Bert Kouns,
Shreveport, LA 71106
(318) 683-0411
(318) 603-5461



Physician's Profile

Full NameRalph Jonathan Henderson
GenderMale
SpecialityUrology
Experience33 Years
Location255 Bert Kouns, Shreveport, Louisiana
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:
  • Ralph Jonathan Henderson attended and graduated from Louisiana State University School Of Medicine In Shreveport in 1991
  NPI Data:
  • NPI Number: 1164427621
  • Provider Enumeration Date: 06/20/2005
  • Last Update Date: 04/29/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 1153332218
  • Enrollment ID: I20220223001746

Medical Identifiers

Medical identifiers for Ralph Jonathan Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164427621NPI-NPPES
1924075MedicaidLA
340019771OtherLARAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 021340 (Louisiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baptist Health Medical Center-little RockLittle rock, ARHospital
Baptist Health Medical Center North Little RockNorth little rock, ARHospital
Baptist Health Medical Center- ConwayConway, ARHospital
Conway Regional Health SystemConway, ARHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Arkansas Urology, P.a.408250254740

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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. Ralph Jonathan Henderson allows following entities to bill medicare on his behalf.
Entity NameArkansas Urology, P.a.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093720443
PECOS PAC ID: 4082502547
Enrollment ID: O20040306000102

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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. Ralph Jonathan 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
Ralph Jonathan Henderson, MD
255 Bert Kouns Loop,
Shreveport, LA 71106-8150

Ph: (318) 683-0411
Ralph Jonathan Henderson, MD
255 Bert Kouns,
Shreveport, LA 71106

Ph: (318) 683-0411

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Urology Doctors in Shreveport, LA

Dennis Dale Venable, M.D.
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 1501 Kings Hwy, Department Of Urology, Shreveport, LA 71103
Phone: 318-813-2750    Fax: 318-813-2755
Alison Smith Spann, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 255 Bert Kouns Industrial Loop, Shreveport, LA 71106
Phone: 318-683-0411    Fax: 318-688-8525
Dr. Kara N Babaian, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1501 Kings Hwy, Shreveport, LA 71103
Phone: 318-675-5601    
Raymond Wendell Turner, M.D.
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 9854 Jennifer Ln, Shreveport, LA 71106
Phone: 318-797-5786    
Dr. Tajammul N Fazili, MD
Urology
Medicare: Medicare Enrolled
Practice Location: 510 E Stoner Ave, Shreveport, LA 71101
Phone: 318-221-8411    
Mrs. Ashley Sittig Baker, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 255 Bert Kouns, Shreveport, LA 71106
Phone: 318-683-0411    Fax: 318-603-5461

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