Theresa S Henderson, MD | |
8244 E Us Highway 36, Suite 210, Avon, IN 46123-9575 | |
(317) 272-7337 | |
(317) 272-8534 |
Full Name | Theresa S Henderson |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 8244 E Us Highway 36, Avon, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699760645 | NPI | - | NPPES |
200281970A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 01045901A (Indiana) | Primary |
Entity Name | Hendricks County Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063411551 PECOS PAC ID: 4880505528 Enrollment ID: O20040811000309 |
Mailing Address | Practice Location Address |
---|---|
Theresa S Henderson, MD 1100 Southfield Dr, Suite 1370, Plainfield, IN 46168-4498 Ph: (317) 837-5571 | Theresa S Henderson, MD 8244 E Us Highway 36, Suite 210, Avon, IN 46123-9575 Ph: (317) 272-7337 |
Ruth M Mccluskey, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8244 E Us Highway 36, Suite 210, Avon, IN 46123 Phone: 317-272-7337 Fax: 317-272-8534 | |
Amanda Melissa Gripe, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1111 Ronald Reagan Pkwy, B1100, Avon, IN 46123 Phone: 317-962-8067 Fax: 317-962-3796 | |
Dr. Drew A Kepple, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1351 Ronald Reagan Pkwy Ste B, Avon, IN 46123 Phone: 317-948-3200 Fax: 317-217-2424 | |
Kerry Lee Hensley, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7376 Business Center Dr, Suite A, Avon, IN 46123 Phone: 317-272-7887 Fax: 317-272-7888 | |
Dr. Jeffrey R Ihlendorf, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1115 N Ronald Reagan Pkwy, Suite 141, Avon, IN 46123 Phone: 317-948-3200 Fax: 317-217-2424 | |
Jennifer K Botkin, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8244 E Us Highway 36, Suite 210, Avon, IN 46123 Phone: 317-272-7337 Fax: 317-272-8534 | |
Callyn B. Riggs, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1111 Ronald Reagan Pkwy, B1100, Avon, IN 46123 Phone: 317-948-2700 Fax: 317-948-2959 |