Mr Derek Allen Henderson, PA is a medicare enrolled "Physician Assistant" in Buchanan, Michigan. He graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Lakeland Medical Practices and his current practice location is
1045 E Front St, Buchanan, Michigan. You can reach out to his office (for appointments etc.) via phone at
(269) 695-5540.
Mr Derek Allen Henderson is licensed to practice in Michigan (license number 5601006108) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1447530498.
Provider's Profile
| Full Name | Mr Derek Allen Henderson |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 13 Years |
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| Location | 1045 E Front St, Buchanan, Michigan |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Derek Allen Henderson graduated from nursing school in 2011
NPI Data:
- NPI Number: 1447530498
- Provider Enumeration Date: 08/23/2011
- Last Update Date: 10/13/2016
Medicare PECOS Information:
- PECOS PAC ID: 8325219397
- Enrollment ID: I20110922000774
Medical Identifiers
Medical identifiers for Mr Derek Allen Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447530498 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 5601006108 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Lakeland Medical Practices | 1658427042 | 260 |
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. Mr Derek Allen 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 |
|---|
Mr Derek Allen Henderson, PA
Po Box 437,
Buchanan, MI 49107-0437
Ph: (269) 695-0262 | Mr Derek Allen Henderson, PA
1045 E Front St,
Buchanan, MI 49107-8474
Ph: (269) 695-5540 |
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