Dr Courtney Lynette Henderson, MD is a
General Practice physician based in Peach Springs, Arizona. Dr Courtney Lynette Henderson is licensed to practice in Virginia (license number 0101239024) and her current practice location is 943 Hualapai Way, Peach Springs, Arizona. She can be reached at her office (for appointments etc.) via phone at
(928) 769-2900.
NPI number for Dr Courtney Lynette Henderson is 1073678355 and her current mailing address is 5327 High Wheels Ct, Columbia, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073678355.
Physician's Profile
Full Name | Dr Courtney Lynette Henderson |
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Gender | Female |
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Speciality | General Practice |
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Location | 943 Hualapai Way, Peach Springs, Arizona |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1073678355
- Provider Enumeration Date: 12/27/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Courtney Lynette Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073678355 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 0101239024 (Virginia) | 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 Courtney Lynette Henderson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Courtney Lynette Henderson, MD 5327 High Wheels Ct, Columbia, MD 21044-5719 Ph: (301) 596-3707 | Dr Courtney Lynette Henderson, MD 943 Hualapai Way, Peach Springs, AZ 86434 Ph: (928) 769-2900 |
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