Diane M Henry, PA-C is a
Physician Assistant - Medical based in Bertha, Minnesota. Diane M Henry is licensed to practice in Minnesota (license number 9263) and her current practice location is
210 1st St N, Box 67, Bertha, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(218) 924-2250.
NPI number for Diane M Henry is 1982699070 and her current mailing address is 1771 County Road 120 Ne, Alexandria, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1982699070.
Provider's Profile
| Full Name | Diane M Henry |
|---|
| Gender | Female |
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| Speciality | Physician Assistant - Medical |
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| Location | 210 1st St N, Bertha, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1982699070
- Provider Enumeration Date: 09/14/2005
- Last Update Date: 09/11/2007
Medical Identifiers
Medical identifiers for Diane M Henry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982699070 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | 9263 (Minnesota) | 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. Diane M Henry 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 |
|---|
Diane M Henry, PA-C
1771 County Road 120 Ne,
Alexandria, MN 56308-8009
Ph: (320) 846-8171 | Diane M Henry, PA-C
210 1st St N, Box 67,
Bertha, MN 56437-0067
Ph: (218) 924-2250 |
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