Diane M Henry, PA-C in Bertha, MN - Physician Assistant

Diane M Henry, PA-C is a Physician Assistant - Medical based in Bertha, Minnesota. Diane M Henry is licensed to practice in Minnesota (license number 9263) and her current practice location is 210 1st St N, Box 67, Bertha, Minnesota. She can be reached at her office (for appointments etc.) via phone at (218) 924-2250.

NPI number for Diane M Henry is 1982699070 and her current mailing address is 1771 County Road 120 Ne, Alexandria, Minnesota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1982699070.

Contact Information

	Diane M Henry, PA-C
	210 1st St N, Box 67, Bertha, MN 56437-0067
	(218) 924-2250
	(218) 924-2257

Provider's Profile

Full Name	Diane M Henry
Gender	Female
Speciality	Physician Assistant - Medical
Location	210 1st St N, Bertha, Minnesota
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1982699070
Provider Enumeration Date: 09/14/2005
Last Update Date: 09/11/2007

Medical Identifiers

Medical identifiers for Diane M Henry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982699070	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	9263 (Minnesota)	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. Diane M Henry is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Diane M Henry, PA-C 1771 County Road 120 Ne, Alexandria, MN 56308-8009 Ph: (320) 846-8171	Diane M Henry, PA-C 210 1st St N, Box 67, Bertha, MN 56437-0067 Ph: (218) 924-2250

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Diane M Henry, PA-C - Physician Assistant in Bertha, MN