Dr Randal Hollis Henderson, MD in Jacksonville, FL

Dr Randal Hollis Henderson, MD is a medicare enrolled "Radiology - Radiation Oncology" physician in Jacksonville, Florida. He went to Texas Tech University Health Science Center School Of Medicine and graduated in 1979 and has 45 years of diverse experience with area of expertise as Radiation Oncology. He is a member of the group practice Florida Proton Therapy Institute Inc and his current practice location is 2015 N. Jefferson St., Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 588-1800.

Dr Randal Hollis Henderson is licensed to practice in Florida (license number ME36677) 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 1649231291.

Contact Information

	Dr Randal Hollis Henderson, MD
	2015 N. Jefferson St., Jacksonville, FL 32206
	(904) 588-1800
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Randal Hollis Henderson
Gender	Male
Speciality	Radiation Oncology
Experience	45 Years
Location	2015 N. Jefferson St., Jacksonville, Florida
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Randal Hollis Henderson attended and graduated from Texas Tech University Health Science Center School Of Medicine in 1979

NPI Data:

NPI Number: 1649231291
Provider Enumeration Date: 03/31/2006
Last Update Date: 10/20/2011

Medicare PECOS Information:

PECOS PAC ID: 5193721082
Enrollment ID: I20061017000412

Medical Identifiers

Medical identifiers for Dr Randal Hollis Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649231291	NPI	-	NPPES
2552299-00	Medicaid	FL
000432264G	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0001X	Radiology - Radiation Oncology	ME36677 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Shands Jacksonville	Jacksonville, FL	Hospital
Flagler Hospital	Saint augustine, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Florida Proton Therapy Institute Inc	0749285609	13

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 Randal Hollis Henderson allows following entities to bill medicare on his behalf.

Entity Name	Florida Proton Therapy Institute Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891748257 PECOS PAC ID: 0749285609 Enrollment ID: O20150226001684

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 Randal Hollis Henderson 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
Dr Randal Hollis Henderson, MD P. O. Box 116304, Atlanta, GA 30368-6304 Ph: (904) 588-1800	Dr Randal Hollis Henderson, MD 2015 N. Jefferson St., Jacksonville, FL 32206 Ph: (904) 588-1800

Reviews and Comments

Radiology Doctors in Jacksonville, FL

Dr. Brian Bishop Moon, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3599 University Blvd. S., Bldg. 300, Jacksonville, FL 32216 Phone: 904-399-5550 Fax: 904-346-4334
Dr. Rishi Norman Razdan, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2416 Dunn Ave, Jacksonville, FL 32218 Phone: 904-353-3664 Fax: 904-353-3858
Dr. Travis Howell Edelstein, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 655 W 8th St, 2nd Floor Clinical Center University Of Florida Jackson, Jacksonville, FL 32209 Phone: 954-775-4645
Leo Czervionke, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Nina L Kazerooni, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 7908 Monterey Bay Dr, Jacksonville, FL 32256 Phone: 904-507-9318
Dr. Clyde Whitley Vick Iii, MD Radiology Medicare: Medicare Enrolled Practice Location: 1833 Boulevard, Jacksonville, FL 32206 Phone: 904-232-2751 Fax: 904-232-2482
Beau Toskich, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000

Dr Randal Hollis Henderson, MD - Medicare Radiation Oncology in Jacksonville, FL