David J Henderson, MD | |
620 Medical Dr Ste 150, Bountiful, UT 84010-5085 | |
(801) 298-3247 | |
(801) 298-9675 |
Full Name | David J Henderson |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 49 Years |
Location | 620 Medical Dr Ste 150, Bountiful, Utah |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417933284 | NPI | - | NPPES |
05356 | Medicaid | UT | |
1518109032 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 1593801205 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lakeview Hospital | Bountiful, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lakeview Urology And General Surgery Llc | 8325198690 | 2 |
Entity Name | Lakeview Urology & General Surgery Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518109032 PECOS PAC ID: 8325198690 Enrollment ID: O20090608000263 |
Mailing Address | Practice Location Address |
---|---|
David J Henderson, MD Po Box 405831, Atlanta, GA 30384-5831 Ph: () - | David J Henderson, MD 620 Medical Dr Ste 150, Bountiful, UT 84010-5085 Ph: (801) 298-3247 |
Brian Montgomery, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 620 Medical Dr Ste 150, Bountiful, UT 84010 Phone: 801-298-3247 | |
Mr. Perry T Walters, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 425 Medical Dr, Suite 112, Bountiful, UT 84010 Phone: 801-292-7249 Fax: 801-292-7251 | |
Justin Paul Parkinson, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1551 Renaissance Towne Dr, Suite 370, Bountiful, UT 84010 Phone: 801-965-3600 |