Ralph Jonathan Henderson, MD in Shreveport, LA

Ralph Jonathan Henderson, MD is a medicare enrolled "Urology" physician in Shreveport, Louisiana. He went to Louisiana State University School Of Medicine In Shreveport and graduated in 1991 and has 33 years of diverse experience with area of expertise as Urology. He is a member of the group practice Arkansas Urology, P.a. and his current practice location is 255 Bert Kouns, Shreveport, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 683-0411.

Ralph Jonathan Henderson is licensed to practice in Louisiana (license number 021340) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1164427621.

Contact Information

	Ralph Jonathan Henderson, MD
	255 Bert Kouns, Shreveport, LA 71106
	(318) 683-0411
	(318) 603-5461

Map and Direction

Physician's Profile

Full Name	Ralph Jonathan Henderson
Gender	Male
Speciality	Urology
Experience	33 Years
Location	255 Bert Kouns, Shreveport, Louisiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ralph Jonathan Henderson attended and graduated from Louisiana State University School Of Medicine In Shreveport in 1991

NPI Data:

NPI Number: 1164427621
Provider Enumeration Date: 06/20/2005
Last Update Date: 04/29/2010

Medicare PECOS Information:

PECOS PAC ID: 1153332218
Enrollment ID: I20220223001746

Medical Identifiers

Medical identifiers for Ralph Jonathan Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164427621	NPI	-	NPPES
1924075	Medicaid	LA
340019771	Other	LA	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	021340 (Louisiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Baptist Health Medical Center-little Rock	Little rock, AR	Hospital
Baptist Health Medical Center North Little Rock	North little rock, AR	Hospital
Baptist Health Medical Center- Conway	Conway, AR	Hospital
Chi-st Vincent Infirmary	Little rock, AR	Hospital
Conway Regional Health System	Conway, AR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Arkansas Urology, P.a.	4082502547	38

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. Ralph Jonathan Henderson allows following entities to bill medicare on his behalf.

Entity Name	Arkansas Urology, P.a.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093720443 PECOS PAC ID: 4082502547 Enrollment ID: O20040306000102

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. Ralph Jonathan Henderson 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
Ralph Jonathan Henderson, MD 255 Bert Kouns Loop, Shreveport, LA 71106-8150 Ph: (318) 683-0411	Ralph Jonathan Henderson, MD 255 Bert Kouns, Shreveport, LA 71106 Ph: (318) 683-0411

Reviews and Comments

Urology Doctors in Shreveport, LA

Dennis Dale Venable, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Department Of Urology, Shreveport, LA 71103 Phone: 318-813-2750 Fax: 318-813-2755
Alison Smith Spann, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 255 Bert Kouns Industrial Loop, Shreveport, LA 71106 Phone: 318-683-0411 Fax: 318-688-8525
Raymond Wendell Turner, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 9854 Jennifer Ln, Shreveport, LA 71106 Phone: 318-797-5786
Dr. Tajammul N Fazili, MD Urology Medicare: Medicare Enrolled Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 318-221-8411
Mrs. Ashley Sittig Baker, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 255 Bert Kouns, Shreveport, LA 71106 Phone: 318-683-0411 Fax: 318-603-5461
Andre Paul Broussard, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Hwy, Shreveport, LA 71103 Phone: 318-675-5053

Ralph Jonathan Henderson, MD - Medicare Urology in Shreveport, LA