Marshall Henderson, MD | |
701 E Rosser Ave, Bismarck, ND 58501-4457 | |
(701) 751-9500 | |
(701) 751-9508 |
Full Name | Marshall Henderson |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 701 E Rosser Ave, Bismarck, North Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225655616 | NPI | - | NPPES |
1459002 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | RL16706 (North Dakota) | Primary |
Entity Name | Banner Health Physicians West Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063778728 PECOS PAC ID: 5092978866 Enrollment ID: O20120607000123 |
Mailing Address | Practice Location Address |
---|---|
Marshall Henderson, MD 701 E Rosser Ave, Bismarck, ND 58501-4457 Ph: (701) 751-9500 | Marshall Henderson, MD 701 E Rosser Ave, Bismarck, ND 58501-4457 Ph: (701) 751-9500 |
Gary Robert Betting, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 515 E Broadway, Center For Family Medicine, Bismarck, ND 58501 Phone: 701-751-9500 Fax: 701-751-9508 | |
James B Bossort, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 222 N 7th St, Bismarck, ND 58501 Phone: 701-323-6000 Fax: 701-323-5709 | |
Haily Datz, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 701 E Rosser Ave, Bismarck, ND 58501 Phone: 701-751-9500 Fax: 701-751-9508 | |
Monika Pothamsetti, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 701 E Rosser Ave, Bismarck, ND 58501 Phone: 701-751-9500 | |
Olimpia Rauta, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 222 N 7th St, Bismarck, ND 58501 Phone: 701-323-6000 Fax: 701-323-8305 | |
Dr. Jeremiah Jon Penn, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 N 9th St., Bismarck, ND 58501 Phone: 701-530-6000 Fax: 701-530-6422 | |
Dr. Todd W Schaffer, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3318 N 14th St, Bismarck, ND 58503 Phone: 701-323-8300 Fax: 701-323-8305 |