Dr Gary Marshall Henley, DDS is a medicare enrolled "Dentist - General Practice" provider in Berkeley, Missouri. His current practice location is
6156 Evergreen Blvd, Berkeley, Missouri. You can reach out to his office (for appointments etc.) via phone at
(314) 522-1032.
Dr Gary Marshall Henley is licensed to practice in Missouri (license number 014443) 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 1861481707.
Healthcare Provider's Profile
Full Name | Dr Gary Marshall Henley |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 6156 Evergreen Blvd, Berkeley, Missouri |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1861481707
- Provider Enumeration Date: 10/13/2005
- Last Update Date: 04/05/2010
Medicare PECOS Information:
- PECOS PAC ID: 3870718638
- Enrollment ID: I20160218001641
Medical Identifiers
Medical identifiers for Dr Gary Marshall Henley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861481707 | NPI | - | NPPES |
402309207 | Medicaid | MO | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 014443 (Missouri) | 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. Dr Gary Marshall Henley 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 |
Dr Gary Marshall Henley, DDS 6156 Evergreen Blvd, Berkeley, MO 63134-2108 Ph: (314) 522-1032 | Dr Gary Marshall Henley, DDS 6156 Evergreen Blvd, Berkeley, MO 63134-2108 Ph: (314) 522-1032 |
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