Dr Ethan Henderson, MD is a
Emergency Medicine physician based in White River Junction, Vermont. Dr Ethan Henderson is licensed to practice in Texas (license number S2330) and his current practice location is 163 Veterans Dr, White River Junction, Vermont. He can be reached at his office (for appointments etc.) via phone at
(254) 743-0311.
NPI number for Dr Ethan Henderson is 1144754615 and his current mailing address is 34 Spruce Dr, Belton, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1144754615.
Physician's Profile
| Full Name | Dr Ethan Henderson |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 163 Veterans Dr, White River Junction, Vermont |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1144754615
- Provider Enumeration Date: 04/11/2017
- Last Update Date: 02/12/2024
Medical Identifiers
Medical identifiers for Dr Ethan Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144754615 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | S2330 (Texas) | Primary |
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 Ethan Henderson 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 Ethan Henderson, MD
34 Spruce Dr,
Belton, TX 76513-6357
Ph: (254) 718-5117 | Dr Ethan Henderson, MD
163 Veterans Dr,
White River Junction, VT 05009-7451
Ph: (254) 743-0311 |
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