Michael P Henry, DO is a medicare enrolled "Family Medicine" physician in Sunrise Beach, Missouri. His current practice location is
16533 N State Highway 5 Ste 201, Sunrise Beach, Missouri. You can reach out to his office (for appointments etc.) via phone at
(573) 374-4600.
Michael P Henry is licensed to practice in Missouri (license number 106206) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1629014766.
Physician's Profile
Full Name | Michael P Henry |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 16533 N State Highway 5 Ste 201, Sunrise Beach, Missouri |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1629014766
- Provider Enumeration Date: 06/20/2006
- Last Update Date: 03/16/2014
Medicare PECOS Information:
- PECOS PAC ID: 8729984513
- Enrollment ID: I20031211000554
Medical Identifiers
Medical identifiers for Michael P Henry such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629014766 | NPI | - | NPPES |
247988462 | Medicaid | MO | |
P01155055 | Other | | RAIL ROAD MEDICARE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 106206 (Missouri) | Primary |
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. Michael P Henry allows following entities to bill medicare on his behalf.
Entity Name | Big Springs Medical Association |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1225045321 PECOS PAC ID: 6709871007 Enrollment ID: O20040416000695 |
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Entity Name | Great Mines Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1376536953 PECOS PAC ID: 3072598143 Enrollment ID: O20041004000035 |
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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. Michael P Henry 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 |
Michael P Henry, DO 16533 N State Highway 5 Ste 201, Sunrise Beach, MO 65079-6769 Ph: (573) 374-4600 | Michael P Henry, DO 16533 N State Highway 5 Ste 201, Sunrise Beach, MO 65079-6769 Ph: (573) 374-4600 |
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