Patty Kristal Henry, MD is a
Obstetrics & Gynecology physician based in Baxley, Georgia. Patty Kristal Henry is licensed to practice in Georgia (license number 060851) and her current practice location is 195 E Tollison St, Baxley, Georgia. She can be reached at her office (for appointments etc.) via phone at
(912) 367-0434.
NPI number for Patty Kristal Henry is 1689757155 and her current mailing address is Po Box 2070, Baxley, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689757155.
Physician's Profile
| Full Name | Patty Kristal Henry |
|---|
| Gender | Female |
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| Speciality | Obstetrics & Gynecology |
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| Location | 195 E Tollison St, Baxley, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1689757155
- Provider Enumeration Date: 10/20/2006
- Last Update Date: 10/21/2021
Medical Identifiers
Medical identifiers for Patty Kristal Henry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689757155 | NPI | - | NPPES |
| 474244127A | Medicaid | GA | |
| 01063 | Medicaid | ND | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207V00000X | Obstetrics & Gynecology | 35077380 (Ohio) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 060851 (Georgia) | 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. Patty Kristal Henry 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 |
|---|
Patty Kristal Henry, MD
Po Box 2070,
Baxley, GA 31515-2070
Ph: (912) 367-0434 | Patty Kristal Henry, MD
195 E Tollison St,
Baxley, GA 31513-0120
Ph: (912) 367-0434 |
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