Dr Walter Mark Henry, DDS is a medicare enrolled "Dentist - General Practice" provider in Gladewater, Texas. His current practice location is
418 W Upshur Ave, Gladewater, Texas. You can reach out to his office (for appointments etc.) via phone at
(903) 845-2238.
Dr Walter Mark Henry is licensed to practice in Texas (license number 9791) 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 1265480701.
Healthcare Provider's Profile
| Full Name | Dr Walter Mark Henry |
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| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 418 W Upshur Ave, Gladewater, Texas |
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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: 1265480701
- Provider Enumeration Date: 05/05/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 9537480702
- Enrollment ID: I20150601001370
Medical Identifiers
Medical identifiers for Dr Walter Mark Henry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265480701 | NPI | - | NPPES |
| P707 | Other | TX | BCBS |
| 146574 | Other | TX | UNITED CONCORDIA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 9791 (Texas) | 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 Walter Mark Henry 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 Walter Mark Henry, DDS
418 W Upshur Ave,
Gladewater, TX 75647-2124
Ph: (903) 845-2238 | Dr Walter Mark Henry, DDS
418 W Upshur Ave,
Gladewater, TX 75647-2124
Ph: (903) 845-2238 |
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