David William Henderson, is a
Case Manager/care Coordinator based in Diamond Springs, California. David William Henderson is licensed to practice in * (Not Available) (license number ) and his current practice location is
4250 Fowler Ln, Diamond Springs, California. He can be reached at his office (for appointments etc.) via phone at
(530) 626-3105.
NPI number for David William Henderson is 1285209122 and his current mailing address is 4250 Fowler Ln, Diamond Springs, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1285209122.
Healthcare Provider's Profile
| Full Name | David William Henderson |
|---|
| Gender | Male |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 4250 Fowler Ln, Diamond Springs, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1285209122
- Provider Enumeration Date: 05/24/2021
- Last Update Date: 05/16/2023
Medical Identifiers
Medical identifiers for David William Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285209122 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | 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. David William Henderson 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 |
|---|
David William Henderson,
4250 Fowler Ln,
Diamond Springs, CA 95619-9781
Ph: (530) 626-3105 | David William Henderson,
4250 Fowler Ln,
Diamond Springs, CA 95619-9781
Ph: (530) 626-3105 |
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