Dr David Duff Henderson, MD | |
1033 El Camino Real, Atascadero, CA 93422 | |
(805) 468-2005 | |
(805) 468-2138 |
Full Name | Dr David Duff Henderson |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Forensic Psychiatry |
Location | 1033 El Camino Real, Atascadero, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346400249 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084F0202X | Psychiatry & Neurology - Forensic Psychiatry | A137382 (California) | Primary |
Entity Name | Department Of State Hospitals |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124078704 PECOS PAC ID: 9638174238 Enrollment ID: O20081031000305 |
Mailing Address | Practice Location Address |
---|---|
Dr David Duff Henderson, MD 1033 El Camino Real, P. O. Box 7001, Atascadero, CA 93422 Ph: (805) 468-2005 | Dr David Duff Henderson, MD 1033 El Camino Real, Atascadero, CA 93422 Ph: (805) 468-2005 |
Dr. Marc H. Reiner, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 10333 El Camino Real, Atascadero, CA 93422 Phone: 805-468-2000 | |
Hadley Charles Osran, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 10333 El Camino Real, Atascadero, CA 93423 Phone: 805-468-2000 Fax: 805-466-6011 | |
Clarice P Chan, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 10333 El Camino Real, Atascadero, CA 93422 Phone: 805-468-2000 | |
Dr. Jonathan R Funk, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 10333 El Camino Real, Atascadero, CA 93422 Phone: 805-468-2188 | |
Dr. James Rafael Pitts, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 10333 El Camino Real, Atascadero, CA 93422 Phone: 805-468-2055 | |
Elouisa V Dizon, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 10333 El Camino Real, Atascadero, CA 93423 Phone: 805-468-2000 Fax: 805-466-6011 | |
Michael Henry Lisiak, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 10333 El Camino Real, Atascadero, CA 93423 Phone: 805-468-2000 Fax: 805-466-6011 |