James M Henderson Jr, CRNA | |
4800 48th St, Valley, AL 36854-3666 | |
(334) 756-1848 | |
(334) 756-1854 |
Full Name | James M Henderson Jr |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 4800 48th St, Valley, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972568855 | NPI | - | NPPES |
1972568855 | Other | AL | TRICARE STANDARD |
842124961A | Medicaid | GA | |
1972568855 | Other | GA | BC BS OF GA |
P00135447 | Other | AL | RAILROAD MEDICARE |
051517972 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 1-031733 (Alabama) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | RN050883 (Georgia) | Primary |
Entity Name | Riverview Anesthesia, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427013838 PECOS PAC ID: 2163320292 Enrollment ID: O20031226000246 |
Mailing Address | Practice Location Address |
---|---|
James M Henderson Jr, CRNA Po Box 661495, Birmingham, AL 35266-1495 Ph: (205) 979-5882 | James M Henderson Jr, CRNA 4800 48th St, Valley, AL 36854-3666 Ph: (334) 756-1848 |
Thomas M Nichols, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4800 48th St, Valley, AL 36854 Phone: 334-756-1848 Fax: 334-756-1854 | |
Mr. Gary Russell Mills, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4800 48th St, Valley, AL 36854 Phone: 256-283-7878 | |
Heather Laconya Veal Fields, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4800 48th St, Valley, AL 36854 Phone: 334-756-1848 Fax: 334-756-1854 | |
Charles Derrick Wilson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4800 48th St, Valley, AL 36854 Phone: 334-756-1848 Fax: 334-756-1854 |