Charles Gerry Henderson, MD is a medicare enrolled "Urology - Pediatric Urology" physician in Fort Belvoir, Virginia. His current practice location is
9300 Dewitt Loop, Attn: Urology, Fort Belvoir Community Hospital, Fort Belvoir, Virginia. You can reach out to his office (for appointments etc.) via phone at
(571) 231-2633.
Charles Gerry Henderson is licensed to practice in Florida (license number ME131967) 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 1912067273.
Physician's Profile
Full Name | Charles Gerry Henderson |
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Gender | Male |
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Speciality | Urology - Pediatric Urology |
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Location | 9300 Dewitt Loop, Attn: Urology, Fort Belvoir, Virginia |
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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: 1912067273
- Provider Enumeration Date: 12/09/2006
- Last Update Date: 05/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 1557683596
- Enrollment ID: I20170804000033
Medical Identifiers
Medical identifiers for Charles Gerry Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912067273 | NPI | - | NPPES |
021315000 | Medicaid | FL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208800000X | Urology | 18271 (Alabama) | Secondary |
2088P0231X | Urology - Pediatric Urology | G188367 (California) | Secondary |
2088P0231X | Urology - Pediatric Urology | 18271 (Alabama) | Secondary |
2088P0231X | Urology - Pediatric Urology | ME131967 (Florida) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Charles Gerry Henderson allows following entities to bill medicare on his behalf.
Entity Name | Florida Clinical Practice Association Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099 |
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Entity Name | Sacred Heart Health System Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1962453308 PECOS PAC ID: 3779491386 Enrollment ID: O20051015000049 |
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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. Charles Gerry 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 |
Charles Gerry Henderson, MD 2724 Fort Scott Dr, Arlington, VA 22202-2305 Ph: (240) 505-5402 | Charles Gerry Henderson, MD 9300 Dewitt Loop, Attn: Urology, Fort Belvoir Community Hospital, Fort Belvoir, VA 22060 Ph: (571) 231-2633 |
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