Dr Michael Dwayne Henderson, MD | |
1900 Scenic Dr, Suite 3308, Georgetown, TX 78626-7724 | |
(512) 869-2566 | |
(512) 869-7434 |
Full Name | Dr Michael Dwayne Henderson |
---|---|
Gender | Male |
Speciality | Cardiovascular Disease (cardiology) |
Experience | 19 Years |
Location | 1900 Scenic Dr, Georgetown, Texas |
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 |
---|---|---|---|
1518166354 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | Q9636 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Columbus Community Hospital | Columbus, TX | Hospital |
St David's Medical Center | Austin, TX | Hospital |
St David's South Austin Medical Center | Austin, TX | Hospital |
Lavaca Medical Center | Hallettsville, TX | Hospital |
Round Rock Medical Center | Round rock, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Davids Heart And Vascular Pllc | 7012821879 | 171 |
Entity Name | St Davids Heart & Vascular Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700887700 PECOS PAC ID: 7012821879 Enrollment ID: O20031117000103 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Dwayne Henderson, MD 2 Saint Marks Pl Ste 160, La Grange, TX 78945-1253 Ph: (979) 242-5677 | Dr Michael Dwayne Henderson, MD 1900 Scenic Dr, Suite 3308, Georgetown, TX 78626-7724 Ph: (512) 869-2566 |
Dr. Jennifer Lynn Clark, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 4945 Williams Dr, Georgetown, TX 78628 Phone: 512-819-0500 | |
Abhijeet V Koli, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1900 Scenic Dr Ste 3308, Georgetown, TX 78626 Phone: 512-869-2566 Fax: 512-869-7434 | |
Anita D'mello, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 4945 Williams Dr, Georgetown, TX 78633 Phone: 512-819-0500 | |
Robert F Denyer, DO Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1900 Scenic Dr, Ste 3308, Georgetown, TX 78626 Phone: 512-869-2566 Fax: 512-869-7434 | |
Lori L Palazzo, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 10 Spring St, Suite 102, Georgetown, TX 78626 Phone: 512-863-3343 Fax: 512-869-4978 | |
Mithula Rao Gopalam, Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 4945 Williams Dr, Georgetown, TX 78633 Phone: 512-819-0500 Fax: 512-819-0520 | |
Supraja R. Gulla, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 4945 Williams Dr, Georgetown, TX 78633 Phone: 317-962-2894 |