Dr Gregory S Henderson, MD, PHD | |
2520 Cherry Ave, Pathology Department, Bremerton, WA 98310-4229 | |
(360) 792-6731 | |
(360) 792-6561 |
Full Name | Dr Gregory S Henderson |
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Gender | Male |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
Location | 2520 Cherry Ave, Bremerton, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407804859 | NPI | - | NPPES |
1722111 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | MD00048144 (Washington) | Primary |
Entity Name | Icahn School Of Medicine At Mount Sinai |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104162700 PECOS PAC ID: 2264691070 Enrollment ID: O20130601000000 |
Entity Name | Fpa Hospital Based |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629319413 PECOS PAC ID: 4789826694 Enrollment ID: O20130806000185 |
Mailing Address | Practice Location Address |
---|---|
Dr Gregory S Henderson, MD, PHD Po Box 2171, Bremerton, WA 98310-0368 Ph: (360) 792-6731 | Dr Gregory S Henderson, MD, PHD 2520 Cherry Ave, Pathology Department, Bremerton, WA 98310-4229 Ph: (360) 792-6731 |
Timothy Vincent Wade, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 2520 Cherry Ave, Bremerton, WA 98310 Phone: 360-475-8501 Fax: 360-744-6561 | |
Dr. David M Bray Iii, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 2520 Cherry Ave, Pathology Dept Harrison Medical Center, Bremerton, WA 98310 Phone: 360-792-6738 Fax: 360-792-6561 | |
Dr. Keith O Hallman, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 2520 Cherry Ave, Pathology Dept Harrison Medical Center, Bremerton, WA 98310 Phone: 360-792-6736 Fax: 360-792-6561 | |
Stephan F Jun, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1 Boone Rd, Bremerton, WA 98312 Phone: 360-475-4426 Fax: 360-475-4344 |