Mr Reino Arnold Henderson, PA-C is a medicare enrolled "Physician Assistant - Medical" provider in Little Rock, Arkansas. His current practice location is
10301 Kanis Rd, Little Rock, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(501) 604-6900.
Mr Reino Arnold Henderson is licensed to practice in Arkansas (license number PA252) 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 1164487146.
Healthcare Provider's Profile
| Full Name | Mr Reino Arnold Henderson |
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| Gender | Male |
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| Speciality | Physician Assistant - Medical |
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| Location | 10301 Kanis Rd, Little Rock, Arkansas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1164487146
- Provider Enumeration Date: 04/20/2006
- Last Update Date: 06/25/2015
Medicare PECOS Information:
- PECOS PAC ID: 1557335106
- Enrollment ID: I20040820000587
Medical Identifiers
Medical identifiers for Mr Reino Arnold Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164487146 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 4995 (Arizona) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA252 (Arkansas) | Primary |
| 363AM0700X | Physician Assistant - Medical | 2904 (Arizona) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | PA252 (Arkansas) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | 2904 (Arizona) | Secondary |
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 Reino Arnold 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 Reino Arnold Henderson, PA-C
10301 Kanis Rd,
Little Rock, AR 72205-6205
Ph: (501) 604-6900 | Mr Reino Arnold Henderson, PA-C
10301 Kanis Rd,
Little Rock, AR 72205-6205
Ph: (501) 604-6900 |
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