Dr Joseph Bernard Henderson, DO | |
2041 Valleygate Dr, Fayetteville, NC 28304-3745 | |
(910) 323-5203 | |
(910) 323-3650 |
Full Name | Dr Joseph Bernard Henderson |
---|---|
Gender | Male |
Speciality | Gastroenterology |
Experience | 15 Years |
Location | 2041 Valleygate Dr, Fayetteville, North Carolina |
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 |
---|---|---|---|
1790963759 | NPI | - | NPPES |
2013-00623 | Other | NC | LICENSE # |
17953 | Other | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 2013-00623 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Cape Fear Valley Medical Center | Fayetteville, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cumberland County Hospital System Inc | 1850204041 | 469 |
Premier Gastroenterology Pa | 5890787006 | 21 |
Entity Name | Cumberland County Hospital System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881946242 PECOS PAC ID: 1850204041 Enrollment ID: O20031112000693 |
Entity Name | Premier Gastroenterology Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952306599 PECOS PAC ID: 5890787006 Enrollment ID: O20040330001364 |
Entity Name | Fayetteville Gastroenterology Associates Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457365751 PECOS PAC ID: 9537186945 Enrollment ID: O20051025000858 |
Entity Name | Fayetteville Gastroenterology Associates Pa |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1417141623 PECOS PAC ID: 9537186945 Enrollment ID: O20060428000420 |
Mailing Address | Practice Location Address |
---|---|
Dr Joseph Bernard Henderson, DO Po Box 87112, Fayetteville, NC 28304-7112 Ph: (412) 527-8518 | Dr Joseph Bernard Henderson, DO 2041 Valleygate Dr, Fayetteville, NC 28304-3745 Ph: (910) 323-5203 |
Kenneth Melton, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 557 Sandhurst Dr, Fayetteville, NC 28304 Phone: 910-484-8114 Fax: 910-484-1564 | |
Kenneth Russell Manning, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-609-6910 Fax: 910-609-5219 | |
San San Wai, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 2300 Ramsey St, Va Medical Center, Fayetteville, NC 28301 Phone: 910-488-2120 | |
Dr. Sabena Johnson, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2300 Ramsey St, Fayetteville, NC 28301 Phone: 910-488-2120 | |
Dr. Stephen S Logue, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 1843 Quiet Cv, Fayetteville, NC 28304 Phone: 910-483-8080 Fax: 910-483-3258 | |
David Tat, DO Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1601 Owen Dr, Fayetteville, NC 28304 Phone: 910-678-0100 Fax: 910-678-0110 | |
Dr. Ghanshyam Pradyumna Dwivedi, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1778 Metromedical Dr, Fayetteville, NC 28304 Phone: 910-483-4680 Fax: 910-484-2704 |