Travis B Henderson, MD is a medicare enrolled "Internal Medicine" physician in Mobridge, South Dakota. His current practice location is
1309 10th Ave W, Mobridge, South Dakota. You can reach out to his office (for appointments etc.) via phone at
(605) 845-3692.
Travis B Henderson is licensed to practice in South Dakota (license number 4780) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1558343061.
Physician's Profile
| Full Name | Travis B Henderson |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 1309 10th Ave W, Mobridge, South Dakota |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Travis B Henderson attended and graduated from in
NPI Data:
- NPI Number: 1558343061
- Provider Enumeration Date: 11/18/2005
- Last Update Date: 11/18/2015
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Travis B Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558343061 | NPI | - | NPPES |
| 6004770 | Medicaid | SD | |
| 1558343061 | Medicaid | SD | |
| S41965 | Other | | PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 4780 (South Dakota) | 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. Travis B 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 |
|---|
Travis B Henderson, MD
1309 10th Ave W,
Mobridge, SD 57601-1146
Ph: (605) 845-3692 | Travis B Henderson, MD
1309 10th Ave W,
Mobridge, SD 57601-1146
Ph: (605) 845-3692 |
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