Dewanna Henderson, PA-C, BA is a
Assistant Behavior Analyst based in Oak Ridge, Tennessee. Dewanna Henderson is licensed to practice in Texas (license number ) and her current practice location is
305 S Benedict Ave, Oak Ridge, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(865) 685-0022.
NPI number for Dewanna Henderson is 1699014746 and her current mailing address is 5729 Lebanon Rd, Ste 144-425, Frisco, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1699014746.
Provider's Profile
| Full Name | Dewanna Henderson |
|---|
| Gender | Female |
|---|
| Speciality | Assistant Behavior Analyst |
|---|
| Location | 305 S Benedict Ave, Oak Ridge, Tennessee |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1699014746
- Provider Enumeration Date: 02/10/2013
- Last Update Date: 01/17/2017
Medical Identifiers
Medical identifiers for Dewanna Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699014746 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 2315 (Tennessee) | Secondary |
| 106E00000X | Assistant Behavior Analyst | (Texas) | Primary |
| 363A00000X | Physician Assistant | 7034 (Georgia) | Secondary |
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. Dewanna Henderson 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 |
|---|
Dewanna Henderson, PA-C, BA
5729 Lebanon Rd, Ste 144-425,
Frisco, TX 75034-7260
Ph: () - | Dewanna Henderson, PA-C, BA
305 S Benedict Ave,
Oak Ridge, TN 37830-7310
Ph: (865) 685-0022 |
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