Dr William D Henceroth Ii, MD is a
Orthopaedic Surgery physician based in Clarksdale, Mississippi. Dr William D Henceroth Ii is licensed to practice in Virginia (license number 0101025812) and his current practice location is 785 Ohio Ave, Suite 1h, Clarksdale, Mississippi. He can be reached at his office (for appointments etc.) via phone at
(662) 621-2438.
NPI number for Dr William D Henceroth Ii is 1518952613 and his current mailing address is 785 Ohio Ave, Suite 1h, Clarksdale, Mississippi. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1518952613.
Physician's Profile
Full Name | Dr William D Henceroth Ii |
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Gender | Male |
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Speciality | Orthopaedic Surgery |
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Location | 785 Ohio Ave, Clarksdale, Mississippi |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1518952613
- Provider Enumeration Date: 09/14/2005
- Last Update Date: 03/16/2016
Medical Identifiers
Medical identifiers for Dr William D Henceroth Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518952613 | NPI | - | NPPES |
010012449 | Medicaid | VA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207X00000X | Orthopaedic Surgery | 0101025812 (Virginia) | Primary |
207X00000X | Orthopaedic Surgery | 21213 (Mississippi) | Secondary |
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 William D Henceroth Ii is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr William D Henceroth Ii, MD 785 Ohio Ave, Suite 1h, Clarksdale, MS 38614-6217 Ph: (662) 621-2438 | Dr William D Henceroth Ii, MD 785 Ohio Ave, Suite 1h, Clarksdale, MS 38614-6217 Ph: (662) 621-2438 |
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