Raymond Bruce Henthorn, MD is a medicare enrolled "Preventive Medicine - Addiction Medicine" physician in Marietta, Ohio. His current practice location is
316 5th St, Marietta, Ohio. You can reach out to his office (for appointments etc.) via phone at
(740) 374-3556.
Raymond Bruce Henthorn is licensed to practice in Ohio (license number 35048319) 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 1720083066.
Physician's Profile
| Full Name | Raymond Bruce Henthorn |
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| Gender | Male |
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| Speciality | Preventive Medicine - Addiction Medicine |
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| Location | 316 5th St, Marietta, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1720083066
- Provider Enumeration Date: 06/14/2005
- Last Update Date: 11/24/2021
Medicare PECOS Information:
- PECOS PAC ID: 0446235766
- Enrollment ID: I20040621002016
Medical Identifiers
Medical identifiers for Raymond Bruce Henthorn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720083066 | NPI | - | NPPES |
| 0050235000 | Medicaid | WV | |
| 0539939 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 35 048319 (Ohio) | Secondary |
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 12681 (West Virginia) | Secondary |
| 2083A0300X | Preventive Medicine - Addiction Medicine | 35048319 (Ohio) | 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. Raymond Bruce Henthorn allows following entities to bill medicare on his behalf.
| Entity Name | Emergency Professional Services, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093762353
PECOS PAC ID: 7214832435
Enrollment ID: O20040511000864 |
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| Entity Name | Ohio Emergency Professionals Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982983425
PECOS PAC ID: 0547433328
Enrollment ID: O20111024000785 |
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| Entity Name | Family Counseling & Rehabilitation Center Of Ohio |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528605276
PECOS PAC ID: 3476979592
Enrollment ID: O20210806000882 |
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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. Raymond Bruce Henthorn 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 |
|---|
Raymond Bruce Henthorn, MD
316 5th St,
Marietta, OH 45750-3027
Ph: (740) 374-3556 | Raymond Bruce Henthorn, MD
316 5th St,
Marietta, OH 45750-3027
Ph: (740) 374-3556 |
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