Jessica Lynn Henderson, DO | |
4420 Lake Boone Trail, Raleigh, NC 27607-2360 | |
(919) 784-3100 | |
Not Available |
Full Name | Jessica Lynn Henderson |
---|---|
Gender | Female |
Speciality | Anesthesiology |
Experience | 18 Years |
Location | 4420 Lake Boone Trail, Raleigh, North Carolina |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174745665 | NPI | - | NPPES |
1174745665 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 2010-00808 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Vidant Edgecombe Hospital | Tarboro, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
East Carolina Health - Heritage Inc | 4789582594 | 16 |
Entity Name | East Carolina Health - Heritage Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194703884 PECOS PAC ID: 4789582594 Enrollment ID: O20040702000525 |
Mailing Address | Practice Location Address |
---|---|
Jessica Lynn Henderson, DO 3100 Spring Forest Rd, Suite 130, Raleigh, NC 27616-2880 Ph: (919) 873-9533 | Jessica Lynn Henderson, DO 4420 Lake Boone Trail, Raleigh, NC 27607-2360 Ph: (919) 784-3100 |
Dr. Robert A Royster Iii, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4420 Lake Boone Trl, Raleigh, NC 27607 Phone: 919-784-3241 Fax: 919-784-6862 | |
James Belknap Collawn, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-5645 | |
Sean Christopher Selig, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4420 Lake Boone Trl, Raleigh, NC 27607 Phone: 919-784-3100 | |
Dr. Peter Albert Modrow, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 312 Meeting House Cir, Raleigh, NC 27615 Phone: 919-870-8833 Fax: 919-870-8833 | |
Jeremy Kenneth Reading, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-5645 Fax: 919-350-7385 | |
Dr. Kevin E Vorenkamp, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3404 Wake Forest Rd Ste 300, Raleigh, NC 27609 Phone: 919-954-3584 Fax: 919-954-3156 | |
Michael Winn Hauser, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4420 Lake Boone Trl, Raleigh, NC 27607 Phone: 919-784-3034 |