Dr Edward Daniel Henderson Jr, MD is a medicare enrolled "Family Medicine" physician in Collinsville, Mississippi. He went to University Of Miami, Lm Miller School Of Medicine and graduated in 1993 and has 31 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Laird Hospital, Inc. and his current practice location is
9097 Collinsville Rd, Collinsville, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(601) 626-8874.
Dr Edward Daniel Henderson Jr is licensed to practice in Mississippi (license number 16698) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1346222890.
Physician's Profile
| Full Name | Dr Edward Daniel Henderson Jr |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 31 Years |
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| Location | 9097 Collinsville Rd, Collinsville, Mississippi |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Edward Daniel Henderson Jr attended and graduated from University Of Miami, Lm Miller School Of Medicine in 1993
NPI Data:
- NPI Number: 1346222890
- Provider Enumeration Date: 11/18/2005
- Last Update Date: 11/06/2013
Medicare PECOS Information:
- PECOS PAC ID: 6103723713
- Enrollment ID: I20040120000522
Medical Identifiers
Medical identifiers for Dr Edward Daniel Henderson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346222890 | NPI | - | NPPES |
| 730-14734 | Other | | BLUE CROSS OF AL |
| 00121878 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 16698 (Mississippi) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Laird Hospital, Inc. | 7214991769 | 35 |
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. Dr Edward Daniel Henderson Jr allows following entities to bill medicare on his behalf.
| Entity Name | Laird Hospital, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821046798
PECOS PAC ID: 7214991769
Enrollment ID: O20050201000304 |
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| Entity Name | Kemper Cah, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346546306
PECOS PAC ID: 5991985012
Enrollment ID: O20110622000294 |
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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. Dr Edward Daniel Henderson Jr 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 |
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Dr Edward Daniel Henderson Jr, MD
Po Box 2106,
Meridian, MS 39302-2106
Ph: (601) 703-4282 | Dr Edward Daniel Henderson Jr, MD
9097 Collinsville Rd,
Collinsville, MS 39325-9779
Ph: (601) 626-8874 |
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