Cynthia Jean Henry, DO | |
2817 New Pinery Rd, Portage, WI 53901-9240 | |
(608) 742-4131 | |
Not Available |
Full Name | Cynthia Jean Henry |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 2817 New Pinery Rd, Portage, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144260712 | NPI | - | NPPES |
43506900 | Medicaid | WI | |
3552210244 | Other | MI | BLUE CROSS PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 5101014794 (Michigan) | Secondary |
208000000X | Pediatrics | 44416 (Wisconsin) | Primary |
Entity Name | Marshfield Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952347981 PECOS PAC ID: 2264345206 Enrollment ID: O20031106000590 |
Entity Name | Mchs Hospitals Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093221434 PECOS PAC ID: 5698071173 Enrollment ID: O20180208000096 |
Mailing Address | Practice Location Address |
---|---|
Cynthia Jean Henry, DO 2817 New Pinery Rd, Portage, WI 53901-9240 Ph: (608) 742-4131 | Cynthia Jean Henry, DO 2817 New Pinery Rd, Portage, WI 53901-9240 Ph: (608) 742-4131 |
Kathleen Doyle, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2825 Hunters Trl, 1st Floor, Portage, WI 53901 Phone: 608-742-7161 Fax: 608-745-3060 | |
Dr. Paul B Young, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2825 Hunters Trl, Portage, WI 53901 Phone: 608-742-7161 Fax: 608-745-3990 |